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.
Attends required meetings and participates in committees as requested.
Education Qualifications
High School Diploma and/or GED Required
Experience Qualifications
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
Skills and Abilities
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.
Physical Demands
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
Working Conditions
Noise - Occasionally
Hearing Requirements
Hears Whispers < 3 feet - Constantly
Hears Whispers 3-8 feet - Constantly
Vision Requirements
Color Discrimination - Constantly
Near Vision (Correctable to Jaeger 2 or 20/30 binocular) - Constantly
Distance Vision (Correctable to Snellen chart 20/30 binocular) - Constantly
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
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled