Top 965 Wvu Jobs | SimplyHired

Insurance Claims Specialist HB
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Computer literacy
- Medical office experience
- Basic math
Clinical Denials Specialist
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Writing skills
Director, ICU/Pathology - SMG
SMG System Medical Group —Morgantown, WV
- Overtime
- Hybrid work
- Hospital
- Urgent Care
- Master's degree
Radiology Technologist
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Anatomy knowledge
- No experience needed
- Mid-level
Radiology Technologist- Pain Management Clinic
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Anatomy knowledge
- BLS Certification
- No experience needed
Certified Orthoptist
WVU Medicine —Morgantown, WV
- From $72,904 a year
- Full-time
- Surgery
- Heavy lifting
- Adults
- Health savings account
- Health insurance
Quick Apply
Sr Accountant - SMG (HYBRID)
SMG System Medical Group —Morgantown, WV
- Full-time
- Management
- CPA
- Bachelor of Science
Radiologic Technologist
Weirton Medical Center —Weirton, WV
- From $26.46 an hour
- Full-time
- BLS Certification
- Inpatient
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Ophthalmic Photographer
WVU Medicine —Morgantown, WV
- From $19.57 an hour
- Full-time
- Anatomy knowledge
- High school diploma or GED
- In-person
- Health insurance
- Dental insurance
Quick Apply
Ambulatory Care Assistant - MA
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Surgery
- Outpatient experience
- High school diploma or GED
Quick Apply
Dental Assistant
WVU Medicine —Morgantown, WV
- From $18.49 an hour
- Full-time
- CPR Certification
- Dental office
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
Cardiothoracic Surgery APP with Vein Harvesting - WVU Heart and Vascular - Leadership Available
Curative —Martinsburg, WV
- $165,000 a year
- Full-time
- Surgery
- Inpatient
- University
- Health insurance
Quick Apply
Ophthalmic Testing Assistant/Eye Technician
WVU Medicine —Morgantown, WV
- From $19.39 an hour
- Full-time
- Hospital
- Maintenance
- High school diploma or GED
- On-the-job training
Quick Apply
Customer Advocate-Remote, WVU
Owens & Minor Distribution Inc. —Charleston, WV
- $65,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
5d
Adjunct Faculty, Arts & Sciences - WVU Tech (Beckley)
West Virginia University —West Virginia
- Part-time
- Classroom
- Doctoral degree
- English
Director of Right of Way Training - Remote
O. R. Colan Associates —Remote
- $165,000 - $185,000 a year
- Online Application
- Travel
- Mentoring
- Contracts
- Travel reimbursement
- Paid holidays
Registration Derm
WMCP WMC Physician Practices —Crafton, PA
- Full-time
- High school diploma or GED
- Criminal background check
- Computer skills
Radiology Receptionist
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Hospital
- High school diploma or GED
- Criminal background check
Course Builder - College of Applied Human Sciences
West Virginia University —Morgantown, WV
- Remote
- Mid-level
- Experience equivalent to degree accepted
- Communication skills
- Work from home
Laboratory Technician - WVU Cancer Institute/Clinical Research Trials
West Virginia University —Morgantown, WV
- Full-time
- Mid-level
- Organizational skills
- Cleaning
- Paid holidays
- Health insurance

I want to receive the latest job alert for wvu

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

wvu jobs near

Insurance Claims Specialist HB

SYSTEM West Virginia University Health System
Remote

Apply Now

Job Details

Full-time

Qualifications

Customer communication
Computer literacy
High school diploma or GED

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Employs excellent customer service, oral and written communication skills to provide customer support and resolve issues that arise from customer inquiries. Supports the work of the department by completing reports and clerical duties as needed. Works with leadership and other team members to achieve best in class revenue cycle operations.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. One (1) year medical billing/medical office experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Submits accurate and timely claims to third party payers.

2. Resolves claim edits and account errors prior to claim submission.

3. Adheres to appropriate procedures and timelines for follow-up with third party payers to ensure collections and to exceed department goals.

4. Gathers statistics, completes reports and performs other duties as scheduled or requested.

5. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency.

6. Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up.

7. Contacts third party payers to resolve unpaid claims.

8. Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.

9. Assists Patient Access and Care Management with denials investigation and resolution.

10. Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.

11. Attends department meetings, teleconferences and webcasts as necessary.

12. Researches and processes mail returns and claims rejected by the payer.

13. Reconciles billing account transactions to ensure accurate account information according to established procedures.

14. Processes billing and follow-up transactions in an accurate and timely manner.

15. Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing.

16. Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.

17. Maintains work queue volumes and productivity within established guidelines.

18. Provides excellent customer service to patients, visitors and employees.

19. Participates in performance improvement initiatives as requested.

20. Works with supervisor and manager to develop and exceed annual goals.

21. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.

22. Communicates problems hindering workflow to management in a timely manner.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for extended periods of time.

2. Must have reading and comprehension ability.

3. Visual acuity must be within normal range.

4. Must be able to communicate effectively.

5. Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Office type environment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.

2. Working knowledge of computers.

3. Knowledge of medical terminology preferred.

4. Knowledge of business math preferred.

5. Knowledge of ICD-10 and CPT coding processes preferred.

6. Excellent customer service and telephone etiquette.

7. Ability to use tact and diplomacy in dealing with others.

8. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

9. Ability to understand written and oral communication.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

544 SYSTEM Patient Financial Services

Apply Now

Refine Your Search

wvu jobs

Insurance Claims Specialist HB

Clinical Denials Specialist

Director, ICU/Pathology - SMG

Radiology Technologist

Radiology Technologist- Pain Management Clinic

Certified Orthoptist

Sr Accountant - SMG (HYBRID)

Radiologic Technologist

Ophthalmic Photographer

Ambulatory Care Assistant - MA

Dental Assistant

Cardiothoracic Surgery APP with Vein Harvesting - WVU Heart and Vascular - Leadership Available

Ophthalmic Testing Assistant/Eye Technician

Customer Advocate-Remote, WVU

Adjunct Faculty, Arts & Sciences - WVU Tech (Beckley)

Director of Right of Way Training - Remote

Registration Derm

Radiology Receptionist

Course Builder - College of Applied Human Sciences

Laboratory Technician - WVU Cancer Institute/Clinical Research Trials

I want to receive the latest job alert for wvu

Related Searches

Explore jobs in more locations

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

Job Seeker Tools

Employer Tools

Browse

Stay Connected