Insurance Claim Specialist

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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

• Managing 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 • Submits accurate and timely claims to third party payers • Resolves claim edits and account errors prior to claim submission • Adheres to appropriate procedures and timelines for follow-up with third party payers • Gathers statistics, completes reports and performs other duties • Organizes and executes daily tasks in priority to achieve optimal productivity • Monitors accounts to facilitate timely follow-up and payment

🎯 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 • Oral and written communication skills • Completion of reports and clerical duties as needed • Education programs for job and personal growth