Insurance Claims Specialist II

4 weeks ago


Fort Worth, Texas, United States Cook Children's Health Care System Full time
Job Summary

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
Requirements

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
About Cook Children's

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.



  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job Title: Insurance Claims Specialist IICook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. As a key member of our insurance follow-up team, you will be responsible for resolving outstanding insurance claims and ensuring timely payment for our patients.Key Responsibilities:Follow-up on outstanding...


  • Fort Worth, Texas, United States Texas Health Care PLLC Full time

    Job Title: Insurance Claims SpecialistJob Summary:We are seeking a detail-oriented Insurance Claims Specialist to join our team at Texas Health Care PLLC. As an Insurance Claims Specialist, you will be responsible for verifying insurance information, obtaining authorization from managed care carriers, and performing other duties as assigned.Key...


  • Fort Worth, Texas, United States Cook Children's Health Care System Full time

    Job Summary:The Insurance Claims Specialist will be responsible for analyzing and resolving outstanding insurance claims for Cook Children's Physician Network. This role requires strong analytical and communication skills to effectively manage claims and provide timely financial and volume data to the Manager, Insurance Follow-Up & Denials Management.Key...


  • Fort Worth, Texas, United States Texas Health Care Full time

    Job Summary:As an Insurance Specialist at Texas Health Care, you will play a vital role in ensuring the smooth operation of our healthcare services. Your primary responsibility will be to verify insurance information, obtain authorization from managed care carriers, and verify claim mailing addresses. You will also be responsible for contacting primary care...


  • Fort Worth, Texas, United States Sedgwick Full time

    About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their people, assets, and reputation. We strive to create a culture of caring, where our colleagues feel valued, supported, and empowered to make a positive impact.Job SummaryWe are seeking...


  • Fort Worth, Texas, United States Colonial Savings Full time

    Job Title: Insurance SpecialistThe Insurance Specialist plays a critical role in maintaining accurate customer escrow/tax impound accounts while adhering to state, regulatory, county, investor, and company guidelines.Key Responsibilities:Process and research insurance exceptions, including lender-placed coverage, insurance disbursements, cancellations,...


  • Fort Worth, Texas, United States Baylor Scott & White Health Full time

    Job SummaryThe Insurance Verification Specialist at Baylor Scott & White Health plays a vital role in ensuring timely verification of insurance benefits and financial clearance for patients, physicians, and internal hospital personnel. This position requires strong communication skills and attention to detail to provide accurate and efficient service.Key...

  • Claims Specialist

    4 weeks ago


    Fort Worth, Texas, United States Unavailable Full time

    About Federated InsuranceFederated Insurance is a leading provider of insurance solutions, dedicated to delivering exceptional service and support to our clients. Our team is passionate about making a difference in the lives of our policyholders, and we're seeking a talented Claims Representative to join our team.Job SummaryWe're looking for a skilled Claims...


  • Fort Worth, Texas, United States Colonial Savings Full time

    {"title": "Insurance Specialist", "description": "Job SummaryColonial Savings is seeking an experienced Insurance Specialist to join our team. As an Insurance Specialist, you will be responsible for accurately maintaining customer escrow/tax impound accounts while complying with state, regulatory, county, investor, and company guidelines.Key...

  • Loss Adjuster

    3 weeks ago


    Fort Worth, Texas, United States State Farm Insurance Full time

    Property Field Inspection Claim Specialist RoleAt State Farm Insurance, we're seeking a skilled Loss Adjuster to handle accident and weather-related claims for homeowners, commercial properties, and large losses. Key responsibilities include: Conducting thorough property inspections to assess damage and determine claim values Collaborating with adjusters and...


  • Fort Worth, Texas, United States HonorVet Technologies Full time

    Job Title:Technical Documentation Specialist IIJob Overview:HonorVet Technologies is seeking a skilled Technical Documentation Specialist II to join our team. As a key member of our documentation team, you will be responsible for managing archived records, processing incoming information, and supporting business users with record retrieval and reference.Key...


  • Fort Worth, Texas, United States CorVel Corporation Full time

    Job Title: Training Specialist IIThe Training Specialist II is a key member of the CERIS Operations team, responsible for developing and delivering training programs to enhance the knowledge and skills of department staff trainers. This role requires a deep understanding of the business and the ability to articulate CERIS's goals and objectives.Key...


  • Fort Worth, Texas, United States Bryan Nowlin - State Farm Agent Full time

    Job OverviewAs an Account Associate with Bryan Nowlin - State Farm Agent, you will play a vital role in our agency's daily operations and customer success. Your primary responsibility will be to grow our agency through meaningful client relationships and acting as a liaison between customer needs and agency departments.Key ResponsibilitiesManage client...


  • Fort Worth, Texas, United States BCforward Full time

    Job Title: Authorization Research Specialist IIIBCforward is seeking a highly skilled Authorization Research Specialist III to join our team. As a key member of our team, you will be responsible for resolving time-sensitive authorization issues that affect claim denials, reconsiderations, or appeals.Key Responsibilities:Resolve authorization issues and...


  • Fort Worth, Texas, United States Boston Scientific Full time

    About the RoleThe Clinical Specialist II - AF Solutions will be responsible for promoting and supporting the Watchman product line through education of current and potential customers within a defined area. This role will provide clinical education, sales strategy, and support to assist in achieving or exceeding projected sales goals and increasing sales...


  • Fort Worth, Texas, United States CorVel Healthcare Corporation Full time

    Job SummaryWe are seeking a highly skilled Training Specialist II to join our team at CorVel Healthcare Corporation. As a key member of our Operations department, you will be responsible for developing and delivering training programs to enhance the knowledge and skills of our staff trainers.The ideal candidate will have a strong background in training and...


  • Fort Worth, Texas, United States MHMR Tarrant Full time

    Job PurposeAs an Insurance Billing Specialist at MHMR Tarrant, you will play a crucial role in verifying insurance benefits for families served by Child & Family Services. Your responsibilities will include sending authorizations, working denials, entering data into local and state databases, running reports, and reconciling data. This position supports the...


  • Fort Worth, Texas, United States HonorVet Technologies Full time

    Job Summary:As a Documentation Specialist II at HonorVet Technologies, you will play a crucial role in managing archived records and ensuring their accuracy and accessibility. Your primary responsibilities will include processing incoming records, verifying data, and maintaining logs and indexes to facilitate efficient retrieval of information.Key...


  • Fort Worth, Texas, United States CornerStone Staffing Full time

    CornerStone Staffing is seeking a skilled Collections Specialist to join their team in the North Fort Worth area. This is a long-term opportunity with a premier auto finance company that offers excellent perks and benefits.As a Collections Specialist, you will be responsible for handling inbound and outbound calls from customers and insurance companies to...


  • Fort Worth, Texas, United States Charla Brotherton Insurance Agency Full time

    Job Title: Customer Service Specialist - InsuranceJob Description:At Charla Brotherton Insurance Agency, we are seeking a highly motivated and customer-focused Customer Service Specialist to join our team.Responsibilities:* Provide exceptional customer service to existing and new clients* Service home and auto policies for existing clientele* Identify...