Healthcare Billing Specialist II: AR & Denials

Cook Children's Health Care System; Fort Worth (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Cook Children’s Health Care System in Fort Worth, TX is seeking an Account Specialist II responsible for accounts receivable functions, claim follow up, and cash collection for services rendered at CCMC. The role requires knowledge of payer regulations and denial resolution to ensure timely reimbursement.

Education includes a High School Diploma or equivalent; a Bachelor's degree is preferred. Prior Epic Hospital Billing experience is preferred.

Qualifications

• 3+ 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
• Strong verbal and written communication skills

Responsibilities

• Manage accounts receivable through claim follow up and cash collection
• Perform denial management and triage payor denials
• Review and adjudicate insurance credit balances
• Maintain knowledge of Federal, State, and payer regulations and reimbursement methodologies
• Communicate with third party payers to facilitate timely reimbursement

Skills

Accounts receivable

Insurance follow-up

Denial management

Communication skills

Education

High School Diploma or equivalent

Bachelor's degree preferred

Tools

Epic Resolute

Epic Hospital Billing

Job description

Cook Children’s Health Care System in Fort Worth, TX is seeking an Account Specialist II responsible for accounts receivable functions, claim follow up, and cash collection for services rendered at CCMC. The role requires knowledge of payer regulations and denial resolution to ensure timely reimbursement.

Education includes a High School Diploma or equivalent; a Bachelor's degree is preferred. Prior Epic Hospital Billing experience is preferred.