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Insurance Clerk - Medicare - Green Bay, WI

Prevea Health
United States, Wisconsin, Green Bay
Dec 30, 2025
Back Insurance Clerk - Medicare #25-601 Green Bay, Wisconsin, United States Apply X Facebook LinkedIn Email Copy Location Tulip Lane-023 Description 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 The Insurance Clerk is responsible for supporting Prevea Health's revenue cycle by resolving commercial insurance denials, monitoring aged receivables, and following up with insurance carriers to ensure timely and accurate reimbursement. This role requires providing exceptional care to our patients and demonstrating respect and collaboration with co-workers. The Insurance Clerk must maintain a high level of performance, communicate positively and professionally, and prioritize patient needs while performing all responsibilities efficiently. What you will do 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 Medicare 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 Drafting appeals/letters to get claims paid 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 policies and procedures, including CPT/ICD-9 codes, usual and customary charges, and confidentiality requirements. Ability to work independently and collaboratively while performing responsibilities efficiently and accurately Strong investigative, problem-solving, and analytical skills. Proficiency in computer applications, including Windows, Excel, Word, and 10-key data entry. Excellent organizational, time management, and communication skills, both written and verbal, with internal and external customers. Licenses and Certifications Certification in medical billing or coding (e.g., CPC, CCA) Preferred Physical Demands Sit - Constantly Stand - Occasionally Walk - Occasionally Drive - Rarely Climb (Stairs/Ladders) - Rarely Bend (Neck) - Frequently Gross Manipulation (Hands/Arms) - Frequently Squat - Occasionally Kneel/Crawl - Rarely 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 Push/Pull 36-50 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 Travel Requirements 5% 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 20/40 binocular) - Constantly Distance Vision (Correctable to Snellen chart 20/40 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 Position Located In Green Bay,WI