Pediatrics 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

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.