Insurance Claims Specialist

November 14

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WVU Medicine

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Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

10,000+ employees

⚕️ Healthcare Insurance

📋 Description

• Manages patient account balances including accurate claim submission. • Compliance with all federal/state and third party billing regulations. • Timely follow-up and assistance with denial management. • Completes reports and clerical duties as needed. • Works with leadership and other team members for optimal revenue cycle operations.

🎯 Requirements

• High School diploma or equivalent. • One (1) year medical billing/medical office experience. • Excellent oral and written communication skills. • Working knowledge of computers. • Knowledge of medical terminology preferred. • Knowledge of business math preferred. • Knowledge of ICD-10 and CPT coding processes preferred.

🏖️ Benefits

• Excellent customer service to patients, visitors and employees. • Participation in performance improvement initiatives as requested. • Attendance at department meetings, teleconferences and webcasts as necessary. • Development and maintenance of knowledge of all federal, state and local regulations pertaining to hospital billing. • Educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.