Insurance Precertification Specialist

Location:

Dodson Medical Office Building

Department:

Cln-Gastro (GI)

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

The Insurance Precertification Specialist will obtain insurance verification, referral authorization, processing and follow up of insurance claims and collections as required. Responsibilities include scheduling procedures, radiology, and ancillary services; verifying insurance coverage and benefits; obtaining referrals and prior authorizations; and processing and following up on insurance claims. Additional responsibilities include communicating with patients regarding scheduling, insurance requirements, and procedure preparation; maintaining accurate and timely documentation; and coordinating with providers, clinical staff, insurance companies, and outside facilities to ensure continuity of care and timely completion of services. Expected to have knowledge of all front office procedures and adhere to all policies and procedures.

Education & Experience:

• High School Diploma.
• 2 Years Billing and Insurance Experience.
• 2 Years Front Office Practice Operations Experience.
• Understanding of General Accounting Principles.

Hours:

• Monday to Friday: 8:00am to 5:00pm

About Us:

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.

Cook Children’s is a Texas-only employer. If you are hired, you will need to maintain your primary residence within the state of Texas, along with all licenses and credentials required for your position throughout your employment.