Insurance Clerk - Work Compensation - Green Bay, WIPrevea Health • Green Bay, WI, United States
Insurance Clerk - Work Compensation - Green Bay, WI
Prevea Health • Green Bay, WI, United States
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High School Diploma and / or GED Required 1-3 years Minimum 2-3 years experience in an insurance or health care setting. Required Previous experience in customer service. Required Experience with computers and Windows based applications. Required Strong knowledge of commercial insurance billing policy and procedures. Ability to work independently and as a team, while performing responsibilities efficiently and accurately. Strong investigative skills. Computer experience and 10 key proficiency. Excellent organizational skills. Excellent communication skills with internal and external customers. Knowledge of CPT / ICD-9 codes and usual and customary charges. Word processing and computer experience with Excel, Word and Windows based applications. Ability to process and hand confidential information with discretion. Sit - Constantly Stand - Occasionally Walk - Occasionally Drive - Rarely Bend (Neck) - Frequently Gross Manipulation (Hands / Arms) - Frequently Squat - Occasionally Twist / Turn (Neck) - Frequently Twist / Turn(Waist) - Occasionally Lift / Carry 0-10 lbs. - Frequently Lift / Carry 11-25 lbs. - Occasionally Lift / Carry 26-35 lbs. - Occasionally Lift / Carry 36-50 lbs. - Rarely Push / Pull 11-25 lbs. - Rarely Push / Pull 26-35 lbs. - Rarely Reach (Above shoulder level) - Rarely Reach (Below shoulder level) - Constantly Simple Grasping (Hands / Arms) - Constantly Fine Manipulation (Hands / Arms) - Constantly Gross Manipulation (Hands / Arms) - Frequently Noise - Occasionally 5% Hears Whispers Hears Whispers 3-8 feet - Constantly Color Discrimination - Constantly Near Vision (Correctable to Jaeger 2 or 20 / 30 binocular) - Constantly Distance Vision (Correctable to Snellen chart 20 / 30 binocular) - Constantly
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Insurance Clerk - Work Compensation
#25-557
Green Bay, Wisconsin, United States
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Location
Tulip Lane-023
Description
This position is full-time, 40-hours per week. It is full-time benefit eligible.
Insurance Clerk
Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health-they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.
Job Summary
Providing exceptional care for our patients as well as recognizing the value of your co-workers is the expectation of all members of the Prevea Health organization. All members are expected to focus on the patient's needs; relate to all in a friendly, accepting manner, communicate in a positive and professional way to patients and co workers; use time effectively and efficiently; demonstrate an overall high level of performance. The Insurance Clerk will work to resolve commercial insurance denials, monitor aged receivables for commercial insurance, and follow-up with insurance carriers.
What you will do
- Respond and investigate denials by insurance carrier. Draft appeal letters, as necessary.
- Follow-up on improperly paid claims.
- Monitor aged receivables for commercial insurance bill types and follow-up with insurance carriers.
- Work problem accounts and resolve them in satisfactory manner.
- Answer patient account questions by phone in a professional, tactful and friendly manner, communicates on a need to know basis.
- Reviewing and following up on improperly paid claims
- Working directly with workers compensation payors
- Drafting appeals / letters to get claims paid
- Attends required meetings and participates in committees as requested.
Education Qualifications
Experience Qualifications
Skills and Abilities
Physical Demands
Working Conditions
Travel Requirements
Hearing Requirements
Vision Requirements
Prevea is an Equal Employment Opportunity / Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov / E-Verify
Position Located In
Green Bay,WI
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