PN Account Specialist II
Core
Manage insurance follow-up, claim denials, and patient account adjustments for Cook Children's Physician Network to ensure timely reimbursement.
Role type
Senior billing operations specialist (medical claims)
Builds
Cleaned patient accounts and resolved insurance denials for pediatric providers
Domain
Healthcare / Medical Billing
Required skills
Managed care contract analysis, denial management, patient account adjustments, claims adjudication analysis, financial reporting, medical terminology, coding knowledge, Epic Resolute Professional Billing
Responsibilities
Follow up on outstanding insurance claims, initiate appeals processes, perform patient account adjustments, monitor accounts receivable, provide feedback on diagnostic and procedural coding effectiveness, communicate with patients and practice managers regarding collections.
Seniority
Mid-level, hands-on IC