Position will be responsible for intake of all Provider inquiries, paper claims, corrected claims and reconsideration requests/appeals relating to claims adjudication, benefits and Health Plan Policies. The position is responsible for meeting department production and quality goals.
Education & Experience:
High School diploma or equivalent required.
Minimum of one year experience in a claim service area within the Healthcare field with understanding of claims payment, experience processing claims, and answering claims inquiries OR 6 months CCHP temporary experience within the Claims Department.
Previous phone experience required.
Excellent Customer Service Skills with ability to explain complicated claim issues to providers.
Ability to resolve conflict.
Licensure, Registration, and/or Certification:
Medical Coding Certification preferred
Internal Number: 54542-46602
About Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Based in Fort Worth, Texas, we’re proud of our long and rich tradition of serving our community.