Insurance Claim Specialist

🕒 May 6

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ 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.

📋 Description

• 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 as scheduled or requested. • Organizes and executes daily tasks to achieve optimal productivity, accountability, and efficiency. • Contacts third party payers to resolve unpaid claims. • Utilizes payer portals and payer websites to verify claim status and conduct account follow-up. • Assists Patient Access and Care Management with denials investigation and resolution. • Researches and processes mail returns and claims rejected by the payer. • Reconciles billing account transactions to ensure accurate account information. • Maintains work queue volumes and productivity within established guidelines. • Communicates problems hindering workflow to management in a timely manner.

🎯 Requirements

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

🏖️ Benefits

• Excellent customer service • Professional development • Confidentiality according to policy