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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

• Manage patients through the healthcare system as part of a multidisciplinary team • Establish relationships with patients and serve as their primary point of contact • Analyze market data to identify payor populations and verify insurance benefits and obesity-treatment coverage • Monitor payor pre-certification requirements and review policy changes • Educate providers and staff on payor regulations to prevent denials • Identify resources and remove barriers to care • Coordinate service-line appointments, laboratory and diagnostic testing, reminders, and wait-list management • Monitor assigned patients during admissions 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 emotional, social, and financial needs • Collaborate with social services on financial assistance, entitlement programs, patient benefits, healthcare resource utilization, and cost efficiency

🎯 Requirements

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