Insurance Precertification Specialist

Cook Children's Health Care System; Prosper (TX); On-site; USD 40,000 - 62,000; Full time

Job summary

Cook Children's Health Care System in Prosper, TX is seeking an Insurance Precertification Specialist to manage insurance verification, referrals, and claims processing for the Pediatric Surgery Specialty Clinic.

The role supports front office operations, ensuring adherence to policies and timely follow-up on outstanding claims. Requires a High School Diploma and prior billing, insurance, and front office experience.

Qualifications

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

Responsibilities

• Insurance verification and precertification management.
• Referral authorization processing and follow-up of insurance claims.
• Support front office procedures and policy adherence.

Skills

Insurance billing

Front office operations

Medical billing

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

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.