Insurance Claims Specialist
3 weeks ago
As a valued member of the Prevea Health team, the Insurance Clerk will play a crucial role in ensuring the smooth operation of our commercial insurance billing processes. This includes resolving denials, monitoring aged receivables, and following up with insurance carriers to ensure timely payment.
Key Responsibilities
• Respond to and investigate insurance carrier denials, drafting 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 a satisfactory manner
• Provide exceptional customer service to patients and co-workers, answering questions in a professional, tactful, and friendly manner
Requirements
• High School Diploma or equivalent required
• Minimum 2-3 years of experience in an insurance or healthcare setting
• Previous experience in customer service
• Strong knowledge of commercial insurance billing policy and procedures
• Ability to work independently and as a team, with excellent organizational and communication skills
Working Conditions
• 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
Prevea Health is an Equal Employment Opportunity/Affirmative Action employer.
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