Insurance Precertification & Scheduling Specialist

Cook Children's; Fort Worth (TX); Hybrid; USD 42,000 - 52,000; Full time

Job summary

Cook Children’s in Fort Worth, TX, is hiring an Insurance Precertification Specialist. The role involves verifying insurance coverage, obtaining referrals and authorizations, scheduling procedures, and processing insurance claims.

Strong communication with patients and coordination with clinical staff are essential to ensure timely services. Qualifications include a High School Diploma and 2+ years in billing/insurance and front office operations, plus understanding of accounting principles.

Qualifications

• High School Diploma required.
• 2 years billing and insurance experience.
• 2 years front office practice operations experience.
• Understanding of general accounting principles.

Responsibilities

• Schedule procedures, radiology and ancillary services.
• Verify insurance coverage and benefits.
• Obtain referrals and prior authorizations.
• Process and follow up on insurance claims.
• Communicate with patients regarding scheduling and insurance requirements.
• Maintain accurate and timely documentation.
• Coordinate with providers, clinical staff, insurers and outside facilities.

Skills

Billing experience

Insurance experience

Front office operations

Accounting knowledge

Education

High School Diploma

Job description

Cook Children’s in Fort Worth, TX, is hiring an Insurance Precertification Specialist. The role involves verifying insurance coverage, obtaining referrals and authorizations, scheduling procedures, and processing insurance claims.

Strong communication with patients and coordination with clinical staff are essential to ensure timely services. Qualifications include a High School Diploma and 2+ years in billing/insurance and front office operations, plus understanding of accounting principles.