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
Required skills
Healthcare third-party reimbursement knowledge, denial management, root cause analysis, insurance credit balance adjudication, Managed Care contract understanding, Epic Hospital Billing proficiency, Resolute system proficiency, medical terminology, keyboarding accuracy, math aptitude
Preferred skills
Bachelor's degree, managed care contract experience, healthcare business office experience
Technologies
Epic, Resolute
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
