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PN Account Specialist II
Location:
Fort Worth, TX
Description:
Location: Calmont Operations Building Department: CBO/PT Financial Services Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Under the leadership of Patient Financial Services (PFS) management, the Account Specialist II is responsible for accounts receivable through claim follow up, cash collection, and denial management for services rendered by Cook Childrens Medical Center (CCMC). This positon requires extensive knowledge of Federal, State, and payor regulations, reimbursement methodologies, and communication with third party payers to facilitate timely and accurate reimbursement. Perform root cause analysis and resolution of denial and variance records. Triage and resolve payor denials. Review and adjudicate insurance credit balances. Qualification: High School Diploma or equivalent. Bachelors preferredMinimum three years billing, insurance follow-up, or healthcare business office experienceUnderstanding of Managed Care contracts, denials and payor methodologyExtensive knowledge of healthcare third party reimbursement, variance and denial recordsEffective oral and written communication skillsKeyboarding accuracy and math aptitude skillsMedical terminology preferredPrior experience with Epic Hospital Billing Resolute preferred 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 EOE/AA, Minority/Female/Disability/Veteran employer.
Company:
Cook Children's Health Care System
Industry:
Other
Posted:
May 21 on Professional Diversity Network
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More About this Listing: PN Account Specialist II
PN Account Specialist II is a Other Jobs Pn Account Specialist II Job at Cook Children's Health Care System located in Fort Worth TX. Find other listings like PN Account Specialist II by searching Oodle for Other Jobs Pn Account Specialist II Jobs.
PN Account Specialist II is a Other Jobs Pn Account Specialist II Job at Cook Children's Health Care System located in Fort Worth TX. Find other listings like PN Account Specialist II by searching Oodle for Other Jobs Pn Account Specialist II Jobs.