Clinical Denials Specialist

🕒 June 17

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 39%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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.

📋 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

🎯 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.

🏖️ Benefits

• Excellent customer service • Oral and written communication skills