Onsite Patient Account Representative 243169

Job Title: Home Health Medical Billing Specialist (6-Month Contract)

Location: On-site at Cook Children’s

Department: Home Health Billing

Schedule:

Training: Monday – Friday | 8:00 AM – 5:00 PM (6–8 weeks)

Post-Training: Monday – Friday | 8:30 AM – 5:30 PM

Position Overview:

Cook Children’s is seeking a detail-oriented Medical Billing Specialist to join our Home Health Billing team on a 6-month contract . This role focuses on managing claim denials, submitting appeals, and ensuring that all required documentation is uploaded into our billing system. While training will be provided, candidates must have a strong foundation in medical billing and collections.

Key Responsibilities:

Review and update denial reasons using Excel spreadsheets

Upload required documentation (e.g., prior authorizations, supporting records) into billing systems

Assist in the submission of claim reconsiderations and appeals

Collaborate with the team to resolve billing issues

Verify insurance benefits, coverage guidelines, and prior authorization requirements

Utilize CPT/HCPCS and ICD-10 codes appropriately

Must-Have Qualifications:

High school diploma or equivalent

Minimum 1–2 years of medical billing and/or collections experience

Working knowledge of Commercial and Medicaid insurance plans

Basic understanding of medical benefits verification and coverage guidelines

Experience with claim denials, appeals, and reconsiderations

Familiarity with CPT/HCPCS and ICD-10 coding

Must be willing to receive a flu vaccine

Preferred Qualifications:

DME (Durable Medical Equipment) billing experience

Experience working in a Home Health or similar healthcare environment

Soft Skills & Attributes:

Strong attention to detail

Team-oriented and collaborative

Adaptable and eager to learn

Comfortable working in a fast-paced environment

Why Join Us?

Foot in the door at a leading pediatric healthcare organization

Opportunity for contract-to-hire (CTH)

Supportive and collaborative team environment

Interview Process:

We are committed to prompt communication and will follow up with candidates within 24–48 hours of submission and interview.