Insurance Precertification Specialist

cookchildrens; Prosper (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

Cook Children's in Prosper, TX seeks an Insurance Precertification Specialist to verify coverage, obtain referral authorizations, and process and follow up on insurance claims. The role requires thorough knowledge of front office procedures and adherence to organizational policies.

Responsibilities include accurate insurance verification, obtaining referrals, claims processing and collections as needed, with emphasis on patient access and efficient workflow within the Pediatric Surgery Specialty

Qualifications

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

Responsibilities

• Obtain insurance verification and referral authorizations.
• Process and follow up on insurance claims and collections as required.
• Adhere to all front office procedures and organizational policies.

Skills

Insurance Verification

Referral Authorization

Claims Processing

Follow-up & Collections

Front Office Operations

Education

High School Diploma

2 Years Billing & Insurance Experience

2 Years Front Office Practice Operations Experience

Understanding of General Accounting Principles

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.