Insurance Precertification Specialist

CCProsper Cook Children's Medical Center - Prosper; United States; On-site; USD 42,000 - 62,000; Full time

Job summary

Cook Children's Pediatric Surgery Specialty Clinic in Prosper, TX is seeking an Insurance Precertification Specialist. You will verify insurance coverage, secure referrals, and manage claims processing and collections in a hospital outpatient setting.

The role requires a high school diploma with 2+ years in billing/insurance and front office operations, plus a solid understanding of accounting principles. Monday–Friday hours are 8:00am–5:00pm.

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 all front office procedures and policies.

Skills

Billing

Insurance

Front office

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. 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.