Top 256 Medical claims Jobs in West Virginia

Patient Accounts Resolution Specialist
Charleston Area Medical Center (CAMC) —Charleston, WV
- Online Application
- Microsoft Excel
- Hospital
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Case Manager, Registered Nurse
CVS Health —West Virginia
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Healthcare Encounter Senior Analyst
CVS Health —West Virginia
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
14d
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —West Virginia
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building
Mon Health —Charleston, WV
- Overtime
- Surgery
- No experience needed
- Mid-level
Telephonic Case Manager I
CorVel Corporation —Charleston, WV
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Configuration Management Senior Analyst
CVS Health —West Virginia
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health insurance
- Dental insurance
5d
Network Management Analyst
CVS Health —Charleston, WV
- $43,888 - $102,081 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building
CAMC Health System —Charleston, WV
- Overtime
- Surgery
- No experience needed
- Mid-level
Sr. Manager, Pricing - Pharmacy Appeals
CVS Health —West Virginia
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Microsoft Access
- Office
- Health insurance
- Dental insurance
Clinical Audiologist - Full Time Position Available
Commonwealth Medical Services —Huntington, WV
- $135,000 - $175,000 a year
- Full-time
- Entry level
Quick Apply
Insurance Claims Representative -- PATIENT FINANCIAL SERVICES -- Hartman Run Road
Mon Health —Morgantown, WV
- Full-time
- Hospital
- BLS Certification
- High school diploma or GED
Psychologist
Matrix Providers —West Virginia
- $84 an hour
- Mid-level
Quick Apply
8d
Psychologist
The Locums Company —Beckley, WV
- $750 a day
- Part-time
- Clinic
- Doctor of Philosophy
- Criminal background check
Quick Apply
Licensed Pharmacy Technician
P.I.E. Management, L.L.C. —Glenville, WV
- $32.75 an hour
- Full-time
- Psychiatry
- Hospital
- High school diploma or GED
Quick Apply
1d
Billing Specialist
FamilyCare Health Centers —Scott Depot, WV
- Full-time
- Ability to walk for extended periods
- Office
- High school diploma or GED
Quick Apply
Medical Billing Specialist
Generations Physical Therapy —Hurricane, WV
- $15 - $18 an hour
- Full-time
- Mid-level
- US work authorization
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Billing Clerk
Logan Mingo Area Mental —Logan, WV
- Full-time
- Computer literacy
- Office
- Administrative experience
Quick Apply
1d
Revenue Cycle Support Specialist
SYSTEM West Virginia University Health System —Morgantown, WV
- Full-time
- Microsoft Outlook
- HIPAA
- Office
Insurance Claims Representative -- BUSINESS OFFICE -- Webster Memorial Hospital
Mon Health —Webster Springs, WV
- Full-time
- Hospital
- High school diploma or GED
- 1 year

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medical claims jobs near west virginia

Patient Accounts Resolution Specialist

Charleston Area Medical Center (CAMC) -
Charleston, WV

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Microsoft Excel
High school diploma or GED
Problem-solving
Typing
Medical terminology

Full Job Description

Charleston Area Medical Center (Charleston, WV) is seeking a Patient Accounts Resolution Specialist.

Review unpaid and underpaid claims to ensure that claims are paid accurately and timely according to company policies, payer contracts, and governmental regulations. Perform follow up on unpaid or underpaid claims to ensure that claims are completely resolved accurately and timely and efforts are thoroughly documented.

Responsibilities

Review assigned work items daily to resolve “at risk, past due, and technical denial” claim issues

Work with coding to resolve coding related denials

Work with Utilization Review to resolve authorization related denials and appeals

Use various payer web portals and DDE systems to obtain claim information that will help in resolution

Contact payers by phone to resolve claim issues

Contact Physician offices to obtain necessary information needed to resolve claims

Manually and accurately resolve claims in Suspense (Medicare only)

Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable)

Follow proper workflow assigned by management

Ensure accurate rebilling of claims to avoid denials

Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead

Communicate identified system related issue to Department Manager, Supervisor, or Team Lead

Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline

Ensure that result driven follow up is be accomplished and documented.

Other duties as assigned

Knowledge, Skills & Abilities

Healthcare billing and collection knowledge

Ability to interpret a payer explanation of benefit (EOB)

Ability to identify and resolve claim issues

Excellent communication and customers service skills

Computer and keyboarding skills

Knowledge of Microsoft software applications (Excel and Word) a plus

Cerner knowledge a plus

Education

High School Diploma or GED (Required)
1-2 Year collections, customer service, or other comparable experience
Medical terminology background and 5-7 years related experience preferred

Credentials

No Certification, Competency or License Required

To apply, visit camc.org/careers for JOB ID#55624

Equal Opportunity Employer

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

medical claims jobs in west virginia

Patient Accounts Resolution Specialist

Case Manager, Registered Nurse

Healthcare Encounter Senior Analyst

Case Manager, Registered Nurse (Oncology experience required)

Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building

Telephonic Case Manager I

Configuration Management Senior Analyst

Network Management Analyst

Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building

Sr. Manager, Pricing - Pharmacy Appeals

Clinical Audiologist - Full Time Position Available

Insurance Claims Representative -- PATIENT FINANCIAL SERVICES -- Hartman Run Road

Psychologist

Psychologist

Licensed Pharmacy Technician

Billing Specialist

Medical Billing Specialist

Billing Clerk

Revenue Cycle Support Specialist

Insurance Claims Representative -- BUSINESS OFFICE -- Webster Memorial Hospital

I want to receive the latest job alert for medical claims in west virginia

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