Insurance Billing Specialist Mountain State Oral & Facial SurgeryInsurance Billing SpecialistHurricane, WVOur company has been a prominent provider specializing in oral and maxillofacial surgery throughout the state of West Virginia for over 25 years with recent expansion into the Kentucky and Virginia regions. Our skilled surgeons utilize advanced oral and facial surgical techniques to deliver exceptional care.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistWest Virginia, WV$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Accounts Receivable/Billing Clerk Valley Healthcare SystemAccounts Receivable/Billing ClerkMorgantown, WVAssures the workflow for service correction is followed depending where in the cycle the service is in the billing cycle; unbilled in open accounting period, claimed, paid, or in a closed accounting period. Confirms 835, 270/271, 277, and 999 file is uploaded into Avatar and reviewed for acceptance, rejections, or errors and proceeds to research, correct, or inform responsible staff or department of the error.
Accounts Receivable Specialist Mountain State Oral & Facial SurgeryAccounts Receivable SpecialistHurricane, WVOur company has been a prominent provider specializing in oral and maxillofacial surgery throughout the state of West Virginia for over 25 years with recent expansion into the Kentucky and Virginia regions. Our skilled surgeons utilize advanced oral and facial surgical techniques to deliver exceptional care.
Registration Clerk Specialist West Virginia University MedicineRegistration Clerk SpecialistWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Medical- Dental Claims Specialist Mountain State Oral & Facial SurgeryMedical- Dental Claims SpecialistHurricane, WVOur company has been a prominent provider specializing in oral and maxillofacial surgery throughout the state of West Virginia for over 25 years with recent expansion into the Kentucky and Virginia regions. Our skilled surgeons utilize advanced oral and facial surgical techniques to deliver exceptional care.
Revenue Cycle Support Specialist West Virginia University MedicineRevenue Cycle Support SpecialistWVThis includes handling insurance correspondence, patient billing inquiries, claim follow-ups, denial management letters, and internal communications to ensure accurate, timely, and compliant resolution of revenue cycle issues. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.
Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System IncPatient Accounts Resolution Specialist -- Patient Accounts -- General HospitalCharleston, WVReview assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead Communicate identified system related issue to Department Manager, Supervisor, or Team Lead Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus.
Grant Finance Specialist -- Grants Administration -- General Hospital Charleston Area Medical Center Health System IncGrant Finance Specialist -- Grants Administration -- General HospitalCharleston, WVPatient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. The Grant Finance Specialist must be able to apply principles of accounting (GAAP) and Uniform Guidance for Federal Awards - 2 CFR Part 200 to prepare and maintain records of financial transactions for grant awards.
Patient Access Specialist Per Diem Ensemble Health PartnersPatient Access Specialist Per DiemRomney, West VirginiaPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. • Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Commercial Insurance Specialist State Line Cafe & More LlcCommercial Insurance SpecialistWheeling, WVFull timeFamily-friendly work schedule with early Fridays Supportive and team-oriented environment Agency-sponsored licensing assistance and training Opportunity for career growth within the insurance industry Hands-on learning and professional development opportunities. The Insurance Sales & Customer Service Agent will support both current and prospective clients through policy servicing, account retention, cross-selling opportunities, and day-to-day client communication.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistBerkeley Springs, West VirginiaPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
26-048 Trades Specialist Lead West Virginia University at Parkersburg26-048 Trades Specialist LeadParkersburg, WV$18.46–$23.33 / hourIn addition, the Trades Specialist Lead provides guidance and support to lower-level Trade Specialists and Maintenance Workers, and may assist with masonry, welding, electrical, plumbing, HVAC, and general building trades work as required. Function/Summary The Trades Specialist Lead (Carpentry Emphasis) serves as the lead worker in the construction, maintenance, alteration, and repair of institutional facilities, with primary expertise in carpentry and woodworking.
Insurance Claims Specialist PB West Virginia University MedicineInsurance Claims Specialist PBMonongalia County, WVResponsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.
Insurance Claims Specialist HB West Virginia University MedicineInsurance Claims Specialist HBMonongalia County, WVResponsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.
Clinical Denial Specialist - Diagnosis Related Grouping (DRG) West Virginia University MedicineClinical Denial Specialist - Diagnosis Related Grouping (DRG)Monongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in healthcare administration, Nursing, Health Information Management, or related field AND Five (5) years of experience in hospital billing, acute care setting, CDI, inpatient coding, or revenue cycle'. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).
Patient Access Specialist West Virginia University MedicinePatient Access SpecialistMorgantown, WVRotating Holidays Scheduled Weekly Hours: 20 Shift: Varied (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 545 WVUH Patient Access Address: 1 Medical Center Drive Morgantown West Virginia. Communicates and interacts with clients, families, visitors, physicians, departmental, and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s).
WVU-Registration Specialist-Dentistry -60763 West Virginia University MedicineWVU-Registration Specialist-Dentistry -60763Morgantown, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Demonstrates flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster).
Customer Service Specialist WEX IncCustomer Service SpecialistWVYou will be assigned to support one of the following call centers based on business needs: WEX Health (Benefits): Supporting participants with HSA, FSA, HRA, and Medicare Advantage products. This role is responsible for answering inbound inquiries regarding account maintenance, billing, and technical support through multiple channels, including phone and email.
Exceptions Specialist II - Onsite - Charleston, WV ModivCareExceptions Specialist II - Onsite - Charleston, WVCharleston, WV$14.23–$17.50 / hourInvestigates benefit utilization issues, pre-authorizations, process denials, mileage validation, meals & lodging, level of service, and provides effective solutions. The Exception Specialist II will provide comprehensive support in customer service, exception handling, and issue investigation, while contributing to continuous process improvement and supporting team collaboration.
Developmental Specialist The Stepping Stones Group LLCDevelopmental SpecialistMarshall County, WVCenter-Based ABA Therapy. Summer Intensive Program.
Registration Specialist West Virginia University MedicineRegistration SpecialistWheeling, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
60252 - Registration Specialist West Virginia University Medicine60252 - Registration SpecialistWeirton, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Professional Coding Specialist II - Anesthesia West Virginia University MedicineProfessional Coding Specialist II - AnesthesiaKanawha County, WVReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives.
Registration Specialist-P Internal Medicine Charles Town West Virginia University MedicineRegistration Specialist-P Internal Medicine Charles TownCharles Town, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
PRN Registration Specialist Dermatology West Virginia University MedicinePRN Registration Specialist DermatologyWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Inpatient Hospital Coding Specialist II West Virginia University MedicineInpatient Hospital Coding Specialist IIMonongalia County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Registration Specialist, Internal Medicine West Virginia University MedicineRegistration Specialist, Internal MedicineWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist-Primary Care Chestnut Street West Virginia University MedicineRegistration Specialist-Primary Care Chestnut StreetWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist Urgent Care West Virginia University MedicineRegistration Specialist Urgent CareWheeling, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist - Heart & Vascular Institute West Virginia University MedicineRegistration Specialist - Heart & Vascular InstituteSouth Charleston, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist - Surgical Clinic (full-time) West Virginia University MedicineRegistration Specialist - Surgical Clinic (full-time)WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Inpatient Hospital Coding Specialist III West Virginia University MedicineInpatient Hospital Coding Specialist IIIMonongalia County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). Responsible for obtaining accurate and complete documentation in the medical record for accurate coding/MS-DRG assignment, severity of illness and risk of mortality for each medical record.
Registration Specialist-Southpointe West Virginia University MedicineRegistration Specialist-SouthpointeWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Insurance Authorization Specialist III West Virginia University MedicineInsurance Authorization Specialist IIIMonongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: High school graduate or equivalent with 2 years working experience in a medical environment, (such as a hospital, doctor's office, or ambulatory clinic.). CORE DUTIES AND RESPONSIBILITIES: As an advocate for WVUH/UHA employees, company and departmental goals and initiatives and HR Compliance, demonstrate knowledge of management and employee needs and apply that knowledge to create solutions.
Registration Specialist- Internal Medicine Charleston West Virginia University MedicineRegistration Specialist- Internal Medicine CharlestonCharleston, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist-Clinic West Virginia University MedicineRegistration Specialist-ClinicPrinceton, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist-Patient Access West Virginia University MedicineRegistration Specialist-Patient AccessWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Registration Specialist - Outpatient West Virginia University MedicineRegistration Specialist - OutpatientWheeling, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
OBGYN Registration Specialist West Virginia University MedicineOBGYN Registration SpecialistWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
JR26-27872 Registration Specialist- IPC West Virginia University MedicineJR26-27872 Registration Specialist- IPCWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
NewRegistration Specialist - Plastic Surgery West Virginia University MedicineRegistration Specialist - Plastic Surgeryshepherdstown, WVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
NewProfessional Coding Specialist II - Inpatient PB (Hospitalists, Med Specialties, etc) West Virginia University MedicineProfessional Coding Specialist II - Inpatient PB (Hospitalists, Med Specialties, etc)Marion County, WVReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives.
NewFloat Registration Specialist - Ambulatory Clinics West Virginia University MedicineFloat Registration Specialist - Ambulatory ClinicsWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Pharmacy Technician Specialist Appalachian Regional Healthcare, Inc.Pharmacy Technician SpecialistHinton, West VirginiaFull timeOverview: The Certified Pharmacy Technician is responsible for performing technical supportive assistance within the pharmacy and assists in the outpatient and inpatient drug distribution system, the preparation of sterile products, drug therapy related research, including the supply function involved with controlled substances, including scheduled II drugs and tax free alcohol. Performs routine office duties such as answers telephone in the manner designated appropriate by the departmental procedures, take messages, distributes mail, operates office machines such as a computer terminal, computer printer, bar-code scanning device, electronic purchase ordering device, typewriter, CRT, adding machine, copying machine and microfiche.
NewRegistration Specialist WVU MedicineRegistration SpecialistWeirton, West Virginia4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
New60252 - Registration Specialist WVU Medicine60252 - Registration SpecialistWeirton, West VirginiaAbility to accurately utilize applicable computer software and equipment for access processing & demonstrates ability to follow down time procedures.• 2. Demonstrate knowledge of procedure to report and/or document unsafe/hazardous conditions, incidents and defective equipment in compliance with hospital policy.• 4. Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems.•
Payor Relations Specialist Select Specialty Hospital - CharlestonPayor Relations SpecialistCharleston, West VirginiaAt Select Specialty Hospitals, a division of Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Maintains and further develops relationships with customers, which may include but are not limited to, surveying for satisfaction with the work of Select Medical and off-site meetings with the customer.
Payor Relations Specialist Select Medical CorpPayor Relations SpecialistMorgantown, WVAt Select Specialty Hospitals, a division of Select Medical, we care for chronically and critically ill or post-ICU patients who require extended hospital care. Maintains and further develops relationships with customers, which may include but are not limited to, surveying for satisfaction with the work of Select Medical and off-site meetings with the customer.
Exceptions Specialist II - Onsite - Charleston, WV ModivcareExceptions Specialist II - Onsite - Charleston, WVCharleston, West VirginiaInvestigates benefit utilization issues, pre-authorizations, process denials, mileage validation, meals & lodging, level of service, and provides effective solutions. The Exception Specialist II will provide comprehensive support in customer service, exception handling, and issue investigation, while contributing to continuous process improvement and supporting team collaboration.