Insurance Precertification Specialist

Cook Children's Health Care System; Prosper (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Cook Children’s Health Care System is seeking an Insurance Precertification Specialist for the Pediatric Surgery Clinic in Prosper, TX. You will verify coverage, obtain referrals, and manage processing and collections of claims while aligning with front-office policies and procedures.

The role requires a High School Diploma and about 2 years of billing/insurance and front office operations experience, with a standard 40-hour work week.

Qualifications

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

Responsibilities

• Obtain insurance verification and referral authorization.
• Process and follow up on insurance claims and collections; adhere to policies and procedures.

Skills

Billing and Insurance experience

Front office operations

General accounting principles

Education

High School Diploma

Job description

Location:

Prosper Medical Office Building

Department:

Cln-Surgery-Peds

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Insurance Precertification Specialist will obtain insurance verification, referral authorization, processing and follow up of insurance claims and collections as required. Expected to have knowledge of all front office procedures and adhere to all policies and procedures.

Education & Experience:

• High School Diploma.
• 2 Years Billing and Insurance Experience.
• 2 Years Front Office Practice Operations Experience.
• Understanding of General Accounting Principles.

Hours:

• Monday to Friday: 8:00am to 5:00pm

Location:

• Pediatric Surgery Specialty Clinic

About Us:

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

Cook Children's is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.