Cook Children's Health Care System
PN Account Specialist II
Cook Children's Health Care System, Granite Heights, Wisconsin, United States
Join to apply for the
PN Account Specialist II
role at
Cook Children's Health Care System 6 days ago Be among the first 25 applicants Join to apply for the
PN Account Specialist II
role at
Cook Children's Health Care System Get AI-powered advice on this job and more exclusive features. Summary:
The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network. Primary duties are; follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner. Location:
CBO
Department:
CBO/PT Financial Services
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary:
The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network. Primary duties are; follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner.
Education:
High School or equivalent required Intermediate knowledge of coding and medical terminology with understanding of diversified health insurance plans a plus At least 3 years experience in a physician billing environment or at least 2 years in the capacity of PN Account Specialist I, with proficiency in performance of duties evidenced by a minimum rating of meets expectations on the most recent Performance Review 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 Medical terminology preferred Prior experience with Epic Resolute Professional Billing 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 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. Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care, Medical Practices, and Non-profit Organizations Referrals increase your chances of interviewing at Cook Children's Health Care System by 2x Sign in to set job alerts for “Account Specialist” roles.
Texas, United States $100,000.00-$120,000.00 1 month ago Regional Account Manager Foodservice, West
Dallas, TX $100,000.00-$120,000.00 1 month ago Texas, United States $50,000.00-$80,000.00 2 months ago Dallas, TX $50,000.00-$65,000.00 1 month ago Austin, TX $50,000.00-$65,000.00 1 month ago United States $70,000.00-$90,000.00 1 week ago Houston, TX $50,000.00-$65,000.00 1 month ago San Antonio, TX $50,000.00-$65,000.00 1 month ago SaaS Account Manager - (OTE $150,000/year USD), CXT Software
Dallas, TX $52,000.00-$78,000.00 1 day ago SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD) - CXT Software
SaaS Account Manager - (OTE $150,000/year USD) - CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
Austin, TX $180,000.00-$220,000.00 1 week ago SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
Texas, United States $50,000.00-$60,000.00 3 days ago SaaS Account Manager (OTE $150,000/year USD) - CXT Software
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr
PN Account Specialist II
role at
Cook Children's Health Care System 6 days ago Be among the first 25 applicants Join to apply for the
PN Account Specialist II
role at
Cook Children's Health Care System Get AI-powered advice on this job and more exclusive features. Summary:
The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network. Primary duties are; follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner. Location:
CBO
Department:
CBO/PT Financial Services
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary:
The Account Specialist II, Insurance Follow-Up & Denials Management is responsible for all insurance follow-up responsibilities for Cook Childrens Physician Network. Primary duties are; follow-up, analysis, and resolution of outstanding insurance claims; initiation of the appeals process on behalf of CCPN providers. The Account Specialist II, Insurance Follow-Up & Denials Management will primarily be responsible for performing duties such as; reimbursement analysis; provides the Manager, Insurance Follow-Up & Denials Management with timely financial and volume data related to claims adjudication and payment trend analyses; performs all required patient account adjustments; provides feedback to practice managers regarding effectiveness of diagnostic and procedural coding; monitors active accounts receivable for identification of potential problems; serves as liaison between assigned practice(s) and billing office; communicates effectively with patients, practice managers, physicians and others regarding collection of outstanding claims; maintains proper documentation and edits of work performed; and at all times maintains a professional demeanor to assure that patients are treated in an appropriate and compassionate manner.
Education:
High School or equivalent required Intermediate knowledge of coding and medical terminology with understanding of diversified health insurance plans a plus At least 3 years experience in a physician billing environment or at least 2 years in the capacity of PN Account Specialist I, with proficiency in performance of duties evidenced by a minimum rating of meets expectations on the most recent Performance Review 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 Medical terminology preferred Prior experience with Epic Resolute Professional Billing 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 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. Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Other Industries Hospitals and Health Care, Medical Practices, and Non-profit Organizations Referrals increase your chances of interviewing at Cook Children's Health Care System by 2x Sign in to set job alerts for “Account Specialist” roles.
Texas, United States $100,000.00-$120,000.00 1 month ago Regional Account Manager Foodservice, West
Dallas, TX $100,000.00-$120,000.00 1 month ago Texas, United States $50,000.00-$80,000.00 2 months ago Dallas, TX $50,000.00-$65,000.00 1 month ago Austin, TX $50,000.00-$65,000.00 1 month ago United States $70,000.00-$90,000.00 1 week ago Houston, TX $50,000.00-$65,000.00 1 month ago San Antonio, TX $50,000.00-$65,000.00 1 month ago SaaS Account Manager - (OTE $150,000/year USD), CXT Software
Dallas, TX $52,000.00-$78,000.00 1 day ago SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
SaaS Account Manager - (OTE $150,000/year USD) - CXT Software
SaaS Account Manager - (OTE $150,000/year USD) - CXT Software
SaaS Account Manager - (OTE $150,000/year USD), CXT Software
Austin, TX $180,000.00-$220,000.00 1 week ago SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
SaaS Account Manager (OTE $150,000/year USD) - CXT Software
Texas, United States $50,000.00-$60,000.00 3 days ago SaaS Account Manager (OTE $150,000/year USD) - CXT Software
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr