Top 21 Claims processing Jobs in Moorefield, Wv

Registration Specialist - Surgical Clinic (full-time)
GMH Grant Memorial Hospital —Petersburg, WV
- Full-time
- Surgery
- High school diploma or GED
- Clinic
5d
Dispute Processing Specialist
Burke & Herbert Bank & Trust —Moorefield, WV
- Full-time
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Patient Access Specialist Per Diem
Ensemble RCM LLC —Romney, WV
- $17.00 - $18.15 an hour
- Full-time
- Acute care
- Hospital
- High school diploma or GED
- Tuition reimbursement
Manager Claims Casualty
First Acceptance Services Inc —United States
- Remote
- High school diploma or GED
- Analysis skills
- Bachelor's degree
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
Senior Full-Stack Developer — WordPress/WooCommerce + Laravel
Digital Marketing Agency —United States
- $60,000 - $72,000 a year
- Full-time
- Remote
- Google Workspace
- 7 years
- No background check
- Health insurance
- Employee discount
Quick Apply
23h

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Dispute Processing Specialist
Burke & Herbert Bank & Trust —Moorefield, WV
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Dental Front Desk Receptionist
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Collaborate with front desk and clinical staff to streamline office operations and enhance patient satisfaction. Dental receptionist: 3 years (Required).
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Registration Specialist - Surgical Clinic (full-time)

GMH Grant Memorial Hospital
Petersburg, WV

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Job Details

Full-time
5 days ago

Qualifications

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.

Performs a variety of administrative and clerical duties to manage patient registration and patient financial obligation.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High school graduate or equivalent.
2. State criminal background check and Federal (if applicable), as required for regulated areas.

CORE JOB 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. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification. Provides to the patient, information concerning insurance, payment of bills and hospital procedures.
2. May complete managed care responsibilities in regard to obtaining pre-certification and authorizations.
3. Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations.
4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.
5. Prepares armband for patient identification.
6. Balances daily receipts and cash drawer for patient payments as needed. Follows up on accounts as indicated by system flags (courtesy dismissal/comments/red stickers).
7. May initiate various screenings and obtains all pertinent information for coverage and completes appropriate paperwork.
8. Performs medical necessity checks and completes Advanced Beneficiary Notice as needed.
9. Schedules, reschedules, or cancels patients in accordance with hospital workflows.
10. Checks for order completeness and validate order against scheduled service.

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. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping.
2. Visual acuity must be within normal range.
3. Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.
4. Sitting and/or standing for extended periods of time.
5. Reading and comprehension ability.

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. High volume, fast paced environment.
2. Exposure to communicable disease.
3. Frequent interactions with patients, medical staff, and support staff daily on a continual basis.

SKILLS AND ABILITIES:

1. Ability to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.
2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.
3. Requires considerable attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
4. Requires the ability to memorize a considerable amount of information, and to be able to reference information not retained from written sources or from appropriate personnel.
5. Requires the ability to understand medical insurance requirements for payment and basic knowledge of covered services.
6. Excellent written and verbal communication skills and the ability to understand written and verbal communication.
7. Basic knowledge of medical terminology.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

GMH Grant Memorial Hospital

Cost Center:

8240 GMH Surgery

Address:

117 Hospital Drive

Petersburg

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

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claims processing jobs in moorefield, wv

Registration Specialist - Surgical Clinic (full-time)

Dispute Processing Specialist

Patient Access Specialist Per Diem

Manager Claims Casualty

Casualty Specialist II

Senior Full-Stack Developer — WordPress/WooCommerce + Laravel

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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.

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