Pediatric AR Specialist II – Denials & Reimbursement

CCPN Cook Children's Physician Network; Fort Worth (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

Cook Children's Medical Center in Fort Worth, TX seeks an Account Specialist II to manage accounts receivable through claim follow-up, cash collection and denial management for services rendered. You will perform root cause analysis and resolve payor denials, while reviewing insurance credit balances.

Requirements include at least three years in billing or healthcare business office, strong communication skills, and knowledge of managed care contracts and payor methods.

Qualifications

• Minimum three years billing, insurance follow-up, or healthcare business office experience.
• Understanding of Managed Care contracts, denials and payor methodology.
• Extensive knowledge of healthcare third party reimbursement, variance and denial records.
• Effective oral and written communication skills.
• Prior experience with Epic Hospital Billing is preferred.

Responsibilities

• Manage accounts receivable through claim follow-up, cash collection and denial management for CCMC services.
• Perform root cause analysis and resolution of denial and variance records.
• Triage and resolve payor denials.
• Review and adjudicate insurance credit balances.

Skills

Billing & follow-up

Effective communication

Medical terminology

Epic Hospital Billing

Education

High School Diploma

Bachelor's degree preferred

Tools

Epic Hospital Billing

Resolute

Job description

Cook Children's Medical Center in Fort Worth, TX seeks an Account Specialist II to manage accounts receivable through claim follow-up, cash collection and denial management for services rendered. You will perform root cause analysis and resolve payor denials, while reviewing insurance credit balances.

Requirements include at least three years in billing or healthcare business office, strong communication skills, and knowledge of managed care contracts and payor methods.