Insurance Claims Specialist

3 weeks ago


Green Bay, Wisconsin, United States Prevea Health Full time
Job Summary
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.
  • Claims Adjuster

    3 weeks ago


    Green Bay, Wisconsin, United States SCHNEIDER NATIONAL CARRIERS INC Full time

    Job Title: Claims AdjusterJob Summary:Schneider National Carriers Inc. is seeking a Claims Adjuster to investigate, analyze, and resolve claims and incidents. The ideal candidate will have excellent written and verbal communication skills, strong attention to detail, and outstanding problem-solving skills.Responsibilities:Manage initial and ongoing field...


  • Green Bay, Wisconsin, United States NEW Community Clinic LTD Full time

    Job SummaryThe Billing Specialist plays a vital role in ensuring the financial health of N.E.W. Community Clinic LTD. This position is responsible for managing the organization's billing operations, including processing insurance claims, verifying patient benefits, and resolving billing issues.Key Responsibilities:Process and manage insurance claims,...


  • Green Bay, Wisconsin, United States Shopko Optical Full time

    Job DescriptionAt Shopko Optical, we are seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will be responsible for applying payment to outstanding claims and following up on any unpaid claims or late payments to assigned accounts.Key Responsibilities:Apply 3rd party payments to accounts receivable in a...


  • Green Bay, Wisconsin, United States Fincantieri Marine Group Full time

    Job Title: Corporate Insurance Risk ManagerAbout the Role:Fincantieri Marine Group is seeking a highly skilled Corporate Insurance Risk Manager to join our team. As a key member of our organization, you will be responsible for evaluating risks and exposures, developing and implementing insurance programs, and managing claims.Key Responsibilities:* Evaluate...


  • Green Bay, Wisconsin, United States Fincantieri Marine Group Full time

    Job Title: Corporate Insurance Risk ManagerAbout the Role:Fincantieri Marine Group is seeking a highly skilled Corporate Insurance Risk Manager to join our team. As a key member of our organization, you will be responsible for evaluating risks and exposures, developing and implementing insurance programs, and managing claims.Key Responsibilities:* Evaluate...


  • Green Bay, Wisconsin, United States Fincantieri Marine Group Full time

    Job Title: Corporate Insurance Risk ManagerCompany: Fincantieri Marine GroupJob Type: Full Time - PermanentDescription:Fincantieri Marine Group is seeking a Corporate Insurance Risk Manager to join our team. As a key member of our organization, you will be responsible for evaluating risks and exposures, and taking appropriate action to transfer risks to...

  • Corporate Insurance

    4 weeks ago


    Green Bay, Wisconsin, United States Fincantieri Marine Group Full time

    Fincantieri Marine Group is seeking a Corporate Insurance & Risk Manager to join our team in Green Bay, Wisconsin. As a key member of our organization, you will be responsible for evaluating risks and exposures, managing insurance programs, and overseeing claims and defense strategies.The ideal candidate will have a strong background in insurance and risk...


  • Green Bay, Wisconsin, United States Fincantieri Marine Group Full time

    bJob Title:/b Corporate Insurance Risk ManagerbrbrbAbout the Role:/bbrbrFincantieri Marine Group is seeking a highly skilled Corporate Insurance Risk Manager to join our team. As a key member of our organization, you will be responsible for evaluating risks and exposures, developing and implementing insurance programs, and managing claims.brbrbKey...


  • Green Bay, Wisconsin, United States Family Services of Northeast Wisconsin Full time

    Accounts Receivable SpecialistFamily Services of Northeast Wisconsin is seeking a highly skilled Accounts Receivable Specialist to join our Business Office team. As a key member of our team, you will be responsible for managing financial transactions with insurance companies, patients, and other payers, ensuring maximum reimbursement while maintaining...

  • Billing Coordinator

    4 weeks ago


    Green Bay, Wisconsin, United States New Community Clinic Full time

    Billing SpecialistThe Billing Specialist plays a crucial role in ensuring the financial health of N.E.W. Community Clinic (NEWCC). This position is responsible for managing the organization's operational excellence, overseeing the full array of services and programs provided by NEWCC to advance its mission and vision.Key Responsibilities:Manage and process...


  • Green Bay, Wisconsin, United States BayCare Clinic Full time

    Job SummaryBayCare Clinic is seeking a highly skilled Refund and Adjustment Specialist to join our team in Green Bay, WI. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.Key ResponsibilitiesResearch and process refund requests from insurance companies, including recoupment of...


  • Green Bay, Wisconsin, United States gpac Full time

    Personal Lines Account Manager OpportunityWe are seeking a highly skilled and motivated Personal Lines Account Manager to join our team at GPAC - Insurance Division. As a key member of our team, you will be responsible for managing a portfolio of personal lines insurance accounts, providing exceptional service to clients, and building strong relationships...


  • Green Bay, Wisconsin, United States Christina Lindauer - State Farm Agent Full time

    ROLE OPPORTUNITY: As a customer retention specialist with Christina Lindauer State Farm, you will play a key role in generating exceptional client experiences that drive the growth of a successful insurance agency. Key Responsibilities: * Answer customer inquiries and provide policy information * Assist clients with policy changes and updates * Process...

  • Insurance Specialist

    3 weeks ago


    Green Bay, Wisconsin, United States OneFuture of Indianapolis Full time

    Job DescriptionOne Future of Indianapolis is seeking a highly motivated and results-driven Insurance Agent to join our team. As an Insurance Agent, you will be responsible for selling insurance products to clients and managing a portfolio of existing clients.Key Responsibilities:Develop and implement sales strategies to meet or exceed sales targetsBuild and...


  • Green Bay, Wisconsin, United States Nsight Telservices Full time

    Join Cellcom's Team:Cellcom is a leading wireless company that operates its own regional network, providing exceptional customer care and community partnership. As a subsidiary of Nsight, we offer complete telecommunications services. Key Responsibilities:The Customer Experience Specialist will provide expert guidance and support to customers, enhancing...


  • Green Bay, Wisconsin, United States Prevea Health Full time

    Prior Authorization SpecialistAt Prevea Health, we value kindness, responsibility, inclusivity, wellness, and inspiration. As a Prior Authorization Specialist, you will play a crucial role in ensuring our patients receive the care they need. Your exceptional communication skills and ability to navigate electronic medical records will make you an asset to our...


  • Green Bay, Wisconsin, United States Family Services of Northeast Wisconsin Inc. Full time

    Job SummaryFamily Services of Northeast Wisconsin Inc. is seeking a highly skilled Accounts Receivable Specialist to join their team. The successful candidate will be responsible for managing financial transactions with insurance companies, patients, and other payers, ensuring maximum reimbursement while maintaining compliance with federal, state, and...


  • Green Bay, Wisconsin, United States New Community Clinic Full time

    The Clinical Operations Coordinator plays a vital role in ensuring the operational excellence of N.E.W. Community Clinic (NEWCC). This individual is responsible for managing the full array of services and programs provided by the organization to advance its mission and vision.NEWCC has a unique mission of ensuring access for underserved, under-insured and...

  • Security Specialist

    4 weeks ago


    Green Bay, Wisconsin, United States Schneider Full time

    Job Title: Security SpecialistAt Schneider, we are seeking a highly skilled Security Specialist to join our team. As a Security Specialist, you will play a critical role in ensuring the safety and security of our facilities and employees.Key Responsibilities:Answer incoming phone calls from company truck drivers with security-related questions and...


  • Green Bay, Wisconsin, United States Prevea Health Full time

    Job SummaryThe Patient Service Representative (PSR) role at Prevea Health is responsible for providing exceptional customer service to patients and families. This position acts as a liaison between patients and medical staff, ensuring a positive experience for all.Key ResponsibilitiesCoordinate communication between patients, family members, medical staff,...