Prevea Health – Insurance Clerk- Support Services Building – Green Bay, WI

Job title: Insurance Clerk- Support Services Building Company: Prevea Health Job description: Title Insurance Clerk- Support Services Building Location Remote-WFH Description Job Description and Essential Functions Job Title/Position: Insurance Clerk Job Classification: Administrative/Professional Support Date of Analysis: Date of Revision/Review: 07/2018 Brief Description of Job Responsibilities: 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. To work and resolve commercial insurance denials. Monitor aged receivables for commercial insurance and follow-up with insurance carriers. Specialized Responsibilities: (This list may not include all of the duties assigned) • 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. • Maintain confidentiality and communicates on a need to know basis. • Attends required meetings and participates in committees as requested. • Ability to work independently as well as in a team. • Miscellaneous duties as required. Performance Requirements: • Strong knowledge of commercial insurance billing policy and procedures. • Ability to work independently 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. Education/Experience/Certifications: • High school diploma or GED. • Minimum 2-3 years experience in an insurance or health care setting. • Previous experience in customer service. • Experience with computers and Windows based applications. Non-Essential Duties: Other duties as assigned. Typical Working Conditions: Normal office environment with sitting for long periods of time. May be required to stoop, bend and stretch for filing purposes. Requires manual dexterity functionality for the use of a computer, telephone, fax or copy machine. Typical Physical Demands: Requires sitting for long periods of time. Working in office environment. Some bending and stretching required. Working under stressful conditions and able to problem solve. Use of telephone, copier and fax machine required. Manual dexterity required for use of calculator and computer keyboard. Ability to lift up to 30 lbs. Vision must be correctable by 20/30 and hearing must be within normal range. 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 Essential Functions/Physical Demands Job Title/Position: Insurance Clerk Job Classification: Frequency of activity required to perform the job Never (0% of work day) Seldom (1-10% of work day) Occasional (11-33% of work day) Frequent (34-66% of work day) As Required ( Greater than 67% of work day) Physical Requirements Sit x Stand x Walk x Drive x Climb (Stairs/Ladders) x Bend (Neck) x Bend (Waist) x Squat x Kneel/Crawl x Twist/Turn (Neck) x Twist/Turn (Waist) x Lift/Carry 0-10 lbs. x Lift/Carry 11-25 lbs. x Lift/Carry 26-35 lbs. x Lift/Carry 36-50 lbs. x Lift/Carry 51-75 lbs. x Lift/Carry 76-100 lbs. x Lift/Carry 100 lbs. x Push/Pull up to 10 lbs. x Push/Pull 11-25 lbs. x Push/Pull 26-35 lbs. x Push/Pull 36-50 lbs. x Push/Pull 51-75 lbs. x Push/Pull 76-100 lbs. x Push/Pull 100 lbs. x Reach (Above shoulder level) x Reach (Below shoulder level) x Simple Grasping (Hands/Arms) x Fine Manipulation (Hands/Arms) x Gross Manipulation (Hands/Arms) x Vision Requirements Color Discrimination x Near Vision (Correctable to Jaeger 2 or 20/30 binocular) x Distance Vision (Correctable to Snellen chart 20/30 binocular) x Hearing Requirements Hears Whispers 3 feet x Hears Whispers 3-8 feet x Position Insurance Clerk-INSCLK Position Located In Green Bay,WI Expected salary: Location: Green Bay, WI Apply for the job now! [ad_2] Apply tot his job Apply To this Job