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⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Establish close relationships with patients and serve as their primary point of contact • Analyze market data to identify payer populations based on regional payer mix • Verify insurance benefits and coverage for obesity treatment • Maintain knowledge of insurance payer pre-certification requirements and review policy changes • Educate providers and staff on payer regulations to prevent denials • Identify resources and remove barriers to patient care • Coordinate appointments across service lines, laboratories, and diagnostic testing • Schedule and adjust patient appointments, make reminder calls, and manage the patient wait-list • Monitor assigned patients’ admissions, round daily, and assist with discharge appointment scheduling • Assist patients with filling prescriptions and assess cost and availability • Document patient information and obtain outside records • Engage family and community resources to address patients’ emotional, social, and financial needs • Collaborate with social services on financial assistance, entitlement programs, patient benefits, healthcare resource use, and clinical cost efficiency • Perform other department-specific duties as assigned

🎯 Requirements

• Bachelor’s degree in Healthcare Management, Public Health, or related field; or Associate’s degree in a related field plus two years of directly related experience; or high school diploma/equivalent plus four years of directly related experience • Three years’ experience in the healthcare field preferred • One year of experience in statistical data analysis preferred • Excellent interpersonal communication and negotiation skills • Ability to work with people of diverse social, economic, and cultural backgrounds • Flexibility, open-mindedness, and adaptability to change • Proficient in Microsoft Office • Ability to sit for extended periods of time • Ability to work in a standard office/clinical environment