Insurance Specialist/Receptionist

Cook Children's Health Care System; Keller (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Cook Children\'s Health Care System in Keller, TX, seeks an Insurance Specialist/Receptionist at Heritage Primary Care to manage patient flow, answer calls, and schedule appointments.

The role includes verifying insurance, obtaining referrals, posting charges and payments, and following up on claims, while upholding CCPN policies and front-office procedures.

Requires a high school diploma, 2 years in a medical office, and familiarity with diverse insurance plans; Epic experience is a plus.

Qualifications

• High school graduate or equivalent.
• At least two years of experience in a medical office setting.
• Understanding of diversified insurance plans and Managed Care environment. Knowledge of coding and medical terminology.
• Exhibit good interpersonal and communication skills.
• Basic computer knowledge at a minimum.
• Two years of Epic experience and Insurance/Referral verification preferred.

Responsibilities

• Oversee patient flow and answer phones promptly and courteously.
• Schedule appointments and maintain front desk operations.
• Enter patient demographics and post charges, payments, and adjustments as required.
• Verify insurance coverage, obtain referrals, and process referrals.
• Manage follow-up of insurance claims and collections per CCPN policies.

Skills

Interpersonal communication

Insurance concepts

Medical terminology

Basic computer skills

Medical coding

Tools

Epic

Job description

Location: Heritage Trace Primary Care

Department: Heritage Primary Care

Shift: First Shift (United States of America)

Standard Weekly Hours: 40

Summary:

The Insurance Specialist/Receptionist is responsible for overseeing patient flow, answering phones promptly and courteously and scheduling appointments. May be responsible for data entry of patient demographics, posting of charges, payments and adjustments as required in the clinic setting. Other responsibilities may include obtaining 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 CCPN policies and procedures.

Education & Experience:

• High school graduate or equivalent.
• At least two years of experience in a medical office setting.
• Understanding of diversified insurance plans and Managed Care environment. Knowledge of coding and medical terminology.
• Exhibit good interpersonal and communication skills.
• Basic computer knowledge at a minimum.
• Two years of Epic experience and Insurance/Referral verification preferred.

Hours:

• Monday to Friday: 8:00am to 5:00pm

About Cook Children's:

Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.

At Cook Children's, we're more than a health care system-we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through-and how we can help you and your child get the best care and support possible.

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.