Insurance Claims Specialist II
4 weeks ago
Cook Children's Health Care System is seeking a highly skilled Account Specialist II to join our team. This role is responsible for managing insurance follow-up responsibilities, analyzing and resolving outstanding claims, and initiating appeals processes on behalf of our providers.
Key Responsibilities- Follow-up and analysis of outstanding insurance claims
- Initiation of appeals processes for CCPN providers
- Reimbursement analysis and financial data reporting
- Patient account adjustments and coding feedback
- Active accounts receivable monitoring and problem identification
- Liaison between assigned practices and billing office
- Effective communication with patients, practice managers, physicians, and others
To be successful in this role, you will need:
- High School or equivalent required
- Intermediate knowledge of coding and medical terminology
- Understanding of diversified health insurance plans
- At least 3 years experience in a physician billing environment or 2 years as a PN Account Specialist I
- Proficiency in Epic Resolute Professional Billing preferred
Cook Children's is a not-for-profit organization providing comprehensive healthcare services to children and families. Our mission is to improve the health and well-being of children through patient-centered care, education, and research.
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