Account Specialist II

Cook Children's; Fort Worth (TX); On-site; USD 52,000 - 62,000; Full time

Job summary

Cook Children’s, Fort Worth, TX, seeks an Account Specialist II to manage accounts receivable, follow up on claims, collect cash, and handle denials for services provided. You will analyze denials, coordinate with third party payers, and resolve credit balances to support timely reimbursement.

Healthcare billing knowledge a must; Epic/Resolute experience preferred. The role requires strong communication skills, accuracy, and a solid understanding of payer contracts, with a focus on compliance

Qualifications

• Minimum three years billing, insurance follow-up, or healthcare business office experience.
• Understanding of Managed Care contracts, denials and payor methodology.
• Extensive knowledge of third party reimbursement, variance and denial records.
• Effective oral and written communication skills.
• Keyboarding accuracy and math aptitude.
• Medical terminology preferred.
• Prior experience with Epic Hospital Billing Resolute preferred.

Responsibilities

• Accounts receivable through claim follow up, cash collection and denial management for CCMC services.
• Perform root cause analysis and resolution of denial and variance records.
• Triage and resolve payor denials.
• Review and adjudicate insurance credit balances.

Skills

Billing follow-up

Denials management

Accounts receivable

Insurance knowledge

Communication skills

Education

High school diploma

Bachelor's degree preferred

Tools

Epic Hospital Billing

Resolute

Job description

## Account Specialist IIApply: Fort Worth, TX: Full time: Posted Today: JR-117093**Location:**Medical Center - Fort Worth**Department:**CBO/PT Financial Services**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**Under the leadership of Patient Financial Services (PFS) management, the Account Specialist II is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Cook Childrens Medical Center (CCMC). This positon requires extensive knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payers to facilitate timely and accurate reimbursement. Perform root cause analysis and resolution of denial and variance records. Triage and resolve payor denials. Review and adjudicate insurance credit balances.Education:High School Diploma or equivalent. Bachelors preferred Minimum three years billing, insurance follow-up, or healthcare business office experience Understanding of Managed Care contracts, denials and payor methodology Extensive knowledge of healthcare third party reimbursement, variance and denial records Effective oral and written communication skills Keyboarding accuracy and math aptitude skills Medical terminology preferred Prior experience with Epic Hospital Billing Resolute preferred