Top 157 Claims Jobs in Wheeling, Wv

Claims Analyst
The Health Plan of West Virginia Inc —Wheeling, WV
- Full-time
- Computer literacy
- Medical office experience
- Mid-level
Quick Apply
5d
Human Resources Specialist - Human Resources
WesBanco Bank, Inc. —Wheeling, WV
- Remote
- Microsoft Excel
- Microsoft Outlook
- OSHA
13d
Customer Service Representative
The Health Plan of West Virginia Inc —Wheeling, WV
- Full-time
- Computer literacy
- English
- High school diploma or GED
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Radiology Receptionist
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
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Ancillary Credentialing Rep
The Health Plan of West Virginia Inc —Wheeling, WV
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
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Referral Specialist
WH Wheeling Hospital Inc. —Wheeling, WV
- Full-time
- Computer literacy
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- Mid-level
10d
Service Writer
HUNTER TRUCK SALES & SERVICE LLC —Wheeling, WV
- Full-time
- Dealership
- High school diploma or GED
- Ability to lift 50 pounds
- Paid holidays
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CDL A Lease Purchase Truck Driver - OTR
MN89 INC —West Virginia
- $2,500 - $3,500 a week
- Heavy lifting
- CDL A
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- Fuel card
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Security Officer Part Time Access Control
Allied Universal —Claysville, PA
- $18 an hour
- Part-time
- 18 years or older
- Customer service
- Pass drug screening
- Paid training
- Opportunities for advancement
Quick Apply
5d
Remote Mental Health Therapist (LPC, LMHC, LCSW, LMFT)
Talkspace —West Virginia
- $70 an hour
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- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Continuing education credits
5d
Customer Service Representative - State Farm Agent Team Member
Taylor Shepherd - State Farm Agent —Moundsville, WV
- $18 an hour
- Full-time
- Office
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- Entry level
- Profit sharing
- 401(k)
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Admissions Counselor
Belmont College —Saint Clairsville, OH
- Full-time
- Word processing
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- Mid-level
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11d
Registration Specialist
WH Wheeling Hospital Inc. —Wheeling, WV
- Part-time
- Hospital
- High school diploma or GED
- Criminal background check
9d
Director, Claims (Commercial-Self-Funded)
The Health Plan of West Virginia Inc —Wheeling, WV
- Full-time
- 5 years
- Office
- Analysis skills
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Amy Latham - State Farm Agent —Bethesda, OH
- $35,000 - $40,000 a year
- Full-time
- High school
- Office
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Central Supply Coordinator
Wellsburg Healthcare Center —Wellsburg, WV
- $15 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Registration Specialist
HARR Harrison Community Hospital —Cadiz, OH
- Full-time
- Hospital
- High school diploma or GED
- Criminal background check
11d
Academic Advisor and Student Support Speciali
Belmont College —Saint Clairsville, OH
- Full-time
- School experience
- High school
- Mid-level
Quick Apply
5d
Adjunct Faculty - Instructor English
Belmont College —Saint Clairsville, OH
- Part-time
- English
- Mid-level
- Master's degree
Quick Apply
Staff Accountant
The Health Plan of West Virginia Inc —Wheeling, WV
- Full-time
- Word processing
- Bachelor of Science
- Mid-level
Quick Apply
5d

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Claims Analyst

The Health Plan of West Virginia Inc
Wheeling, WV

Quick Apply

Job Details

Full-time
5 days ago

Qualifications

Computer operation
Computer literacy
High school diploma or GED
ICD-10
Typing
Medical terminology

Full Job Description

Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviewer must meet or exceed production and quality standards and follow documented policies and procedures.

Required:

High school diploma or equivalent.
Ability to follow written directions and work independently.
Familiarity with medical terminology, CPT and ICD-10 coding is required.
Computer and typing experience is required.

Desired:

Previous claims processing.
Experience in billing or physician office experience is preferred.

Responsibilities:

Performs initial review of all claim edits as directed. Completes or routes all reviews in accordance with time parameters established by The Health Plan.
Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines.
Reports patterns of incorrect billing and utilization to manager or claims coordinator.
Advises management of items that are unclear or that are not addressed in the established criteria/payment guidelines.
Maintain a quality rating of 98%.
Processes 15-20 claims per hour.
Consistently displays a positive attitude and acceptable attendance.
Participate in external and/or internal trainings as requested.

Equal Opportunity Employer

The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan 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. The Health Plan 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.

8:00am - 5:00pm
40

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Refine Your Search

claims jobs in wheeling, wv

Claims Analyst

Human Resources Specialist - Human Resources

Customer Service Representative

Radiology Receptionist

Ancillary Credentialing Rep

Referral Specialist

Service Writer

CDL A Lease Purchase Truck Driver - OTR

Security Officer Part Time Access Control

Remote Mental Health Therapist (LPC, LMHC, LCSW, LMFT)

Customer Service Representative - State Farm Agent Team Member

Admissions Counselor

Registration Specialist

Director, Claims (Commercial-Self-Funded)

Customer Service Representative - State Farm Agent Team Member

Central Supply Coordinator

Registration Specialist

Academic Advisor and Student Support Speciali

Adjunct Faculty - Instructor English

Staff Accountant

I want to receive the latest job alert for claims in wheeling, wv

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