NewWork From Home Sales Specialist HMG CareersWork From Home Sales SpecialistMount Carbon, PAYou will work remotely, serving clients by providing guidance and protection solutions for individuals and families. Increased earning potential in later years through performance and renewals.
NewRemote Sales Enrollment Specialist HMG CareersRemote Sales Enrollment SpecialistBlue Jay, OHRemoteYou will work remotely, serving clients by providing guidance and protection solutions for individuals and families. Increased earning potential in later years through performance and renewals.
Insurance Billing Specialist Mountain State Oral & Facial SurgeryInsurance Billing SpecialistHurricane, West VirginiaOur 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.
Insurance Specialist West Virginia University MedicineInsurance SpecialistWVCommunicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection.
General Surgery - Insurance Specialist West Virginia University MedicineGeneral Surgery - Insurance SpecialistWheeling, WVCommunicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection.
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistCharleston, WVAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
NewCommercial 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.
NewInsurance 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.
NewInsurance 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.
Insurance Authorization Specialist II West Virginia University MedicineInsurance Authorization Specialist IIMonongalia 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.). This position is responsible for obtaining authorizations for elective procedures, services, and tests to financially clear patients prior to services are rendered.
Insurance Account Specialist State Line Cafe & More LlcInsurance Account SpecialistWheeling, WVFull timeThe Licensed Insurance Customer Service & Sales Agent will support both current and prospective clients through excellent customer service, account management, retention efforts, and cross-selling opportunities. The Lewis Financial Group is a trusted name in insurance, providing personalized service and reliable coverage to individuals, families, and businesses across the region.
Contracting Specialist (Insurance) Integrity Marketing GroupContracting Specialist (Insurance)Saint Albans, WVFounded in 1988, West Virginia-based Agent Pipeline, an Integrity company, is one of the most successful insurance marketing organizations (IMOs) in the United States, with vast network of proud employees and satisfied customers. The specialist works closely with agents, agency partners, sales teams, and internal departments to facilitate effective working relationships and ensure compliance with regulatory guidelines.
NewSenior Insurance Claims Specialist West Virginia University MedicineSenior Insurance Claims SpecialistMonongalia County, WVCertified Revenue Cycle Representative (CRCR) Certification through the Healthcare Financial Management Association (HFMA) OR Certified Revenue Cycle Specialist through the American Association of Healthcare Administrative Management (AAHAM) within 90 days of hire. Responsible 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.
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.
Accounts Receivable Specialist Mountain State Oral & Facial SurgeryAccounts Receivable SpecialistHurricane, West VirginiaOur 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.
Pre-Certification Specialist Charleston Area Medical Center Health System IncPre-Certification SpecialistCharleston, WVThe 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. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center Charleston Area Medical Center Health System IncPre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular CenterCharleston, WVThe 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. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
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.
Human Resources Specialist - Human Resources WesBanco IncHuman Resources Specialist - Human ResourcesWheeling, WVPossess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas and concepts to management, bank employees and bank customers in a collaborative and solutions-oriented manner. OTHER REQUIREMENTS: Banking is a highly regulated industry, and you will be expected to acquire and maintain a proficiency in the Bank''s policies and procedures, and adhere to all laws, rules and regulations that are applicable to your conduct and the work you will be performing.
Exercise Specialist West Virginia University MedicineExercise SpecialistMorgantown, WVCompletes all required feedback and communication to patient and healthcare team including EMR documentation and reports concerning education, exercise progression, exercise treatment, and monitored physiological and vital responses of the patient. Must provide care including the implementation and evaluation of exercise programs for cardiac patients in all phases of cardiac rehabilitation in collaboration with and under the supervision of the Exercise Physiologist, Cardiac Rehab RN and/or Physical Therapist.
NewPatient Financial Clearance Specialist West Virginia University MedicinePatient Financial Clearance SpecialistMonongalia County, WVResponds daily to telephone or email inquiries and performs appropriate actions; Documents all actions taken in the appropriate locations; Serves as a resource to staff and patients for insurance related issues; Knowledge of current contracted and non-contracted insurance plans; Follows through and makes corrections in demos and insurances as they are discovered. Thorough understanding and working knowledge of CPT codes, medical terminology, ability to read and explain back EOB for all insurance types; excellent interpersonal, verbal, and written communication; excellent organizational, analytical; excellent time management and multi-tasking abilities.
NewCommercial Specialist AutoZone IncCommercial SpecialistCharleston, WVAs permitted by state or local law, AutoZone may consider certain offenses to be relevant to positions responsible for conducting or overseeing financial transactions on behalf of AutoZone, driving company vehicles and/or supervision of minors. Since opening our first store in 1979, AutoZone has grown into a leading retailer and distributor of automotive parts and accessories across the Americas.
Clinical Denials Specialist West Virginia University MedicineClinical Denials SpecialistMonongalia County, WVThis includes but is not limited to, denial investigation, follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate and timely account adjustments all while ensuring compliance with all federal, state, third-party billing regulations and contract agreements. Manages and distributes incoming mail in an accurate and timely manner; includes Epic documentation, logging incoming correspondence, uploading to document warehouse and routing mis-directed mail; processes outgoing certified mail.
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).
Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist, Workers'''' CompensationWVRemoteOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
NewLost Time Claims Specialist - Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist - Workers'''' CompensationCharleston, WVOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Sterilization Specialist Mountain State Oral & Facial SurgerySterilization SpecialistParkersburg, WVThe ideal candidate is highly organized, meticulous, and committed to maintaining a safe and sterile environment to support clinical staff and deliver exceptional patient care. Ensure all equipment is prepared and operational at the start of each day (autoclaves, O2/Nitrous systems, suction systems, etc.).
Vocational Specialist Liberty Behavioral & Community Services, Inc.Vocational SpecialistSugar Grove, WV$18.39–$22.23 / hourYour responsibilities will include assessing clients' skills, interests, and needs; developing individualized vocational training plans; providing direct support during job placements; and working closely with local businesses to create job opportunities. As a Vocational Specialist, you will play a crucial role in supporting individuals with disabilities to achieve their vocational goals and enhance their employability through hands-on training, job coaching, and collaboration with local employers.
Health and Human Resources Specialist, Senior State of West VirginiaHealth and Human Resources Specialist, SeniorCharleston, WV$41,194–$71,789 / yearSpecial Requirement for the West Virginia Cancer Registry: Certification: For West Virginia Cancer Registry cancer surveillance, data quality, and registrar education positions, applicant must hold the Certified Tumor Registrar (CTR) credential, OR have five (5) years of cancer registry work experience. As a Grants Specialist, Senior, you will play a critical role in ensuring the success of the Bureau's mission to create thriving communities in our state by overseeing statewide grants for Bureau programs, while advancing your own career growth in a position providing ongoing support, professional development, and performance feedback.
Remote Outbound Sales Specialist CLEAResult Consulting, Inc.Remote Outbound Sales SpecialistWVRemoteDrive success in a high-volume, outbound sales environment using a fast-paced dialer to speak to utility customers and encourage them to enroll in energy saving programs where they can save money on their bill. Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g.
Vocational Rehabilitation Specialist I - Martinsburg, WV Omega HealthVocational Rehabilitation Specialist I - Martinsburg, WVMartinsburg, West Virginia$17.50–$19.50About Omega Health Services: Omega Health Services is committed to expanding employment opportunities and promoting independence through person-centered vocational rehabilitation services. This field-based position combines career counseling, job development, employer engagement, job coaching, and ongoing employment support to help individuals obtain and maintain competitive, integrated employment.
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).
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).
Acquisition Contract Specialist (TS/SCI Clearance) Hive Group LLCAcquisition Contract Specialist (TS/SCI Clearance)Clarksburg, WV$120,000–$150,000 / yearThe Acquisition Contract Specialist performs a full range of complex pre- and post-award contracting functions including, but not limited to, acquisition strategy development, acquisition planning, procurement package input and validation, solicitation, negotiation, administration, and closeout/termination. Develop and maintain a workable plan and manage resources to accomplish the overall goal of the project; manage and follow through to ensure the smooth flow and timely completion of activities delivering project results.
NewJR26-27872 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.
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.
Registration Specialist - OBGYN West Virginia University MedicineRegistration Specialist - OBGYNWVCollects 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-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.
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.
Registration Specialist - Ophthalmology Department West Virginia University MedicineRegistration Specialist - Ophthalmology DepartmentWheeling, 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 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 OB/GYN West Virginia University MedicineRegistration Specialist OB/GYNBerkeley, 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.
Cash Management Specialist West Virginia University MedicineCash Management SpecialistClarksburg, WVAnalyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department. Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account.
NewBusiness Process Specialist, BI Marsh & McLennan Companies IncBusiness Process Specialist, BICharleston, WVRemote$59,700–$111,200 / yearIn tandem with workflow design, the National Business Process Specialist will support efforts to configure our AMS, document all processes and procedures, design reporting outputs, create client deliverables and lead training efforts. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh (NYSE: MRSH).
Patient Relations Specialist Mountain State Oral & Facial SurgeryPatient Relations SpecialistCharleston, West VirginiaMountain State Oral & Facial Surgery, part of a leading network including Greater Charlotte Oral & Facial Surgery, Greater Ohio Oral & Facial Surgery, and The Facial Centers, all supported by P3 Partners, is seeking a dedicated Patient Relations Specialist to join our rapidly expanding team. With decades of combined experience and a commitment to clinical excellence, our board-certified surgeons and expert teams deliver comprehensive services such as dental implants, wisdom teeth removal, corrective jaw surgery, and innovative facial aesthetic procedures.
To Go Specialist Olive GardenTo Go SpecialistBeckley, WVWe are committed to the highest safety and sanitation practices, including ensuring team member wellness and maintaining clean restaurants. As a To Go Specialist, you recognize that people's lives are busy, and guests safely picking up food to-go has become even more important.
Public Cloud Marketplace Specialist Arrow Electronics IncPublic Cloud Marketplace SpecialistWVRemote$93,500–$130,352.60 / yearJob Description: Arrow Electronics has an exciting new opportunity for a Marketplace Supplier Specialist who will work with Account Management Representatives, supplier partners, engineers, and other internal Arrow resources to offer exemplary customer service and product knowledge expertise with an aim to expand marketshare and grow our business. What You'll Be Doing: Through primarily digital interaction, this Marketplace Supplier Specialist will support a variety of supplier offerings in public cloud marketplaces, helping customers to locate and secure the right products or services for their specific needs.
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.