Account Specialist II
Core
Manage accounts receivable, claim follow-up, cash collection, and denial management for services rendered by Cook Children's Medical Center.
Role type
Senior billing and reimbursement specialist
Builds
Timely and accurate reimbursement for pediatric healthcare services
Domain
Healthcare / Medical Billing
Deliverable
client delivery
Required skills
Federal, State, and payor regulations knowledge, reimbursement methodologies, root cause analysis, insurance credit balance adjudication, Epic Hospital Billing, Resolute, medical terminology, keyboarding accuracy, math aptitude
Preferred skills
Bachelors degree, Managed Care contracts understanding, healthcare third party reimbursement expertise
Responsibilities
Perform root cause analysis and resolution of denial and variance records, Triage and resolve payor denials, Review and adjudicate insurance credit balances, Communicate with third party payers to facilitate reimbursement
Seniority
Mid-level, hands-on IC