Insurance Claims Specialist

1 day ago


Fort Worth, Texas, United States Cook Children's Health Care System Full time
Job Title: Insurance Claims Specialist

Cook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for managing and resolving insurance claims, ensuring timely and accurate reimbursement for our patients.

Key Responsibilities:
  • Manage and resolve insurance claims, including follow-up and appeals processes
  • Perform reimbursement analysis and provide timely financial and volume data to management
  • Provide feedback to practice managers on diagnostic and procedural coding effectiveness
  • Monitor active accounts receivable for potential problems and serve as liaison between assigned practices and billing office
  • Communicate effectively with patients, practice managers, physicians, and others regarding collection of outstanding claims
Requirements:
  • High School or equivalent required; intermediate knowledge of coding and medical terminology a plus
  • At least 3 years experience in a physician billing environment or 2 years as a PN Account Specialist I
  • Proficiency in performance of duties evidenced by a minimum rating of meets expectations on the most recent Performance Review
About Cook Children's:

Cook Children's is a not-for-profit organization comprised of a flagship medical center, physician network, home health company, surgery centers, health plan, health services, and health foundation. We are committed to providing exceptional pediatric healthcare to our community.



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