Pediatric Front Office Insurance Specialist

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

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.