Insurance Precertification Specialist

Cook Children's; Prosper, Northern (TX, KY); Hybrid; USD 36,000 - 52,000; Full time

Job summary

Cook Childrens is seeking an Insurance Precertification Specialist for the Prosper Pediatric Surgery Clinic. Responsibilities include verifying insurance, obtaining referrals, processing and following up on claims, and assisting with collections as needed.

The role requires a High School Diploma with 2 years of billing/insurance experience and familiarity with front office operations and basic accounting principles. Monday through Friday, standard clinic hours, in Prosper, TX.

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 as required.
• Adhere to front office policies and procedures and maintain knowledge of all front office operations.

Skills

Billing and Insurance Experience

Front Office Operations

Accounting Principles

Education

High School Diploma

Job description

Location

Location: Prosper Medical Office Building Department: Cln-Surgery-Peds Shift: First Shift (United States of America) Standard Weekly Hours: 40

Summary

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

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. Promise, a strong word with deep meaning that everyone understands- especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.