WVU Medicine
10,000+ employees
âď¸ Healthcare Insurance
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.
Clinical Denials Specialist
đ June 17
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WVU Medicine
10,000+ employees
âď¸ Healthcare Insurance
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.
đ Description
⢠Managing accounts receivable related to denied claims ⢠Denial investigation ⢠Follow-up with insurance companies ⢠Billing, auditors and clinics/hospital departments ⢠Non-clinical appeal writing ⢠Accurate and timely account adjustments ⢠Compliance with all federal, state, third-party billing regulations and contract agreements ⢠Utilizing payer portals and payer websites ⢠Composing administrative, non-clinical appeals ⢠Developing knowledge of all federal, state, and local regulations
đŻ Requirements
⢠High School diploma or equivalent ⢠One (1) year of training in medical billing, coding, insurance processing, or other related experience ⢠Associate degree in related field preferred ⢠Knowledge and experience with EPIC medical billing preferred ⢠Experience with Microsoft Excel/Word preferred ⢠Experience with hospital billing preferred.
đď¸ Benefits
⢠Excellent customer service ⢠Oral and written communication skills
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