Insurance Clerk - Work Compensation - Green Bay, WI

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