Medical Coding Auditor-Pea Ridge Business Center Valley Health SystemMedical Coding Auditor-Pea Ridge Business CenterHuntington, WVRemoteJob Summary: The Medical Coding Auditor protects company assets by completing coding documentation and quality & program audits to ensure support of services billed, complying with all federal and state regulations and internal controls, and recommending improvements in internal control structure. Primary Responsibilities (illustrative): Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with all regulations for federal and state agencies, third-party payers, and organization policy.
HIM Coding Supervisor -- Coding & Data Registry -- Document Center Building Charleston Area Medical Center Health System IncHIM Coding Supervisor -- Coding & Data Registry -- Document Center BuildingCharleston, WVAssociate's Degree (Required) Experience: 5 yrs coding experience with at least 3 of the years with progressive coding; dependent on coding specialty - outpatient coding experience with strong grasp of coding guidelines and rules or inpatient experience with strong grasp of coding and rules; experience in Clinical Documentation Improvement Substitution: May substitute 5 yrs progressive coding experience in addition to required experience for the Associates Degree in Health Information Technology. The position will also act as a liaison with Clinical Documentation Specialists and Coders to settle differences in coding and DRG assignment; with Coders and Patient Accounts to resolve coding and billing issues; and provide clinical and documentation clarification facility-wide.
Inpatient Hospital Coding Specialist III West Virginia University MedicineInpatient Hospital Coding Specialist IIIMonroe 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.
Coding Auditor-Educator West Virginia University MedicineCoding Auditor-EducatorMonongalia County, WVEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Hospital Coding Spec II PBB West Virginia University MedicineHospital Coding Spec II PBBMarion 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.
Hospital Coding Spec II Cancer Center West Virginia University MedicineHospital Coding Spec II Cancer CenterWetzel 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.
Hospital Coding Spec II-PBB Clinic West Virginia University MedicineHospital Coding Spec II-PBB ClinicMarion 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.
NewInpatient Hospital Coding Manager West Virginia University MedicineInpatient Hospital Coding ManagerMonongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; Associate's Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; In Lieu of Bachelor or Associate's Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager. Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWV$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Medical Records Coder 1 Charleston Area Medical Center Health System IncMedical Records Coder 1Charleston, WVEffectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean claim for billing to the third party payer. Participate in the Coding Hotline by responding to callers+ needs for coding advice, identify callers needs that must be referred to a higher level of coding skill, and overall act as a liaison between coding and other departments that need coding services.
ADVANCED PRACTICE PROFESSIONALS | Cardiology | Weirton Medical Center | Nurse Practitioner or Physician Assistant West Virginia University MedicineADVANCED PRACTICE PROFESSIONALS | Cardiology | Weirton Medical Center | Nurse Practitioner or Physician AssistantWeirton, WVThrive Here.\n \nAdditional Job Description:\n \nAdditional Job Description\n \nPOSITION DESCRIPTION\n \nJOB TITLE &CODE: ADVANCED PRACTICE PROFESSIONALS \u2013 Heart and Vascular Institute (HVI) - Cardiology Nurse Practitioner (85001) or Physician Assistant (85101)\n \nDEPARTMENT: Heart and Vascular Institute\n \nREPORTS TO: Administrator, Faculty Supervisor, Director of Advanced Practice Professionals of the Heart and Vascular Institute\n \nFLSA STATUS: Exempt\n \nPOSITION SUMMARY: The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of cardiology patients, (including biological, social and psychological assessments). The APP coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures, peri-operative services, and coordinates ambulatory management and/or discharge planning/follow-up (as applicable).
Advanced Practice Professional | Vascular Surgery | Berkeley Medical Center | Martinsburg, WV | PA-C or APRN West Virginia University MedicineAdvanced Practice Professional | Vascular Surgery | Berkeley Medical Center | Martinsburg, WV | PA-C or APRNMartinsburg, WVThrive Here.\n \nAdditional Job Description:\n \nMUST OBTAIN WV and VA LICENSE FOR THIS ROLE\n \nAdditional Job Description\n \nPOSITION DESCRIPTION\n \nJOB TITLE &CODE: ADVANCED PRACTICE PROFESSIONALS \u2013 Heart and Vascular Institute (HVI) \u2013 Vascular Surgery Nurse Practitioner (89001) or Physician Assistant (89101)\n \nDEPARTMENT: Heart and Vascular Institute \n \nREPORTS TO: Administrative Director of Heart and Vascular Institute, Faculty Supervisor, Section of Vascular Surgery, Chairman of HVI Surgery\n \nFLSA STATUS: Exempt\n \nPOSITION SUMMARY: The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of vascular surgery patients, (including biological, social, and psychological assessments). Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighting 40+ pounds.\n \nWORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
ADVANCED PRACTICE PROFESSIONALS - Orthopaedics Nurse Practitioner (85001) or Physician Assistant (85101) - Camden Clark Medical Center - Parkersburg West Virginia University MedicineADVANCED PRACTICE PROFESSIONALS - Orthopaedics Nurse Practitioner (85001) or Physician Assistant (85101) - Camden Clark Medical Center - ParkersburgParkersburg, WVThe APP coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient, and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures, peri-operative services, and coordinates discharge planning/follow-up (as applicable). Reviews and interprets orthopaedic data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
ADVANCED PRACTICE PROFESSIONAL | Cardiology | Berkeley Medical Center | Martinsburg, WV | APRN or PA-C West Virginia University MedicineADVANCED PRACTICE PROFESSIONAL | Cardiology | Berkeley Medical Center | Martinsburg, WV | APRN or PA-CMartinsburg, WVThe APP coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures, peri-operative services, and coordinates discharge planning/follow-up (as applicable). Reviews and interprets cardiology data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
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).
Benefits Configuration Analyst West Virginia University MedicineBenefits Configuration AnalystMonongalia County, WVPerform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WV$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
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.
Engagement Center Representative Encova Mutual Insurance GroupEngagement Center RepresentativeCharleston, 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. Analyzes information received from the customer, triages facts to determine what is being requested, and determines what action is to be taken Interact with other associates across the organization to answer questions, provide support or assist in problem resolution for customers and agents.
Rehabilitation Administrative Coordinator West Virginia University MedicineRehabilitation Administrative CoordinatorWVScheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: BMC Berkeley Medical Center Cost Center: 219 BMC Physical Therapy Jefferson Address: 2500 Hospital Drive Martinsburg West Virginia. Schedules all procedures performed in the outpatient department of rehabilitation, coordinates, and performs administrative function of the department and other assigned special projects.
NewRecords Management Specialist Ansted CenterRecords Management SpecialistAnsted, West VirginiaFull timeAs a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Overview: At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.
NewRevenue 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.
NewOffice Manager -PC West Virginia University MedicineOffice Manager -PCBridgeport, WVMust be highly skilled with computer systems used by both physician offices and hospitals to capture data accurately and consistently to permit an appropriate claim for payment to be completed as well as to appropriately capture other needed information. The incumbent oversees the daily operations of the medical office consistent with good business practices and in conformance to overall institutional practices, including personnel management, financials, budgets, accounts payable, accounts receivable, payroll and purchasing.
NewRecords Management Coordinator Pine Lodge CenterRecords Management CoordinatorBeckley, West Virginia$17–$19 / hourFull timeAs a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Records Management Coordinator is responsible to maintain, secure and store all written and electronic records within the nursing center in accordance with federal/state regulations and the Genesis' records management program.
Physical Therapist UnitedHealth Group IncPhysical TherapistBuckhannon, WVClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. As members of the Optum family of businesses we are dedicated to helping people feel their best including our team members who create meaningful connections with patients their families each other and the communities we serve.
Home Health Account Executive UnitedHealth Group IncHome Health Account ExecutiveWVClinical › Corporate and business operations › Customer and support services › Early careers› Sales and account management › Technology and data› Physicians› Advanced practice clinicians› Pharmacy› Behavioral health› Nursing› Medical coding› Clinical support›. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Field Reimbursement Manager - Kidney (Capitol - WV, VA, MD) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Capitol - WV, VA, MD)West VirginiaCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
NewNurse Practitioner - PRN Amedisys, Inc.Nurse Practitioner - PRNBluefield, West VirginiaPer diemOverview: Nurse Practitioner - PRN - Hospice PRN Schedule: Flexible - Days, Evening and Weekends Make a difference every day as an Amedisys nurse practitioner Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Must meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys.
Front Desk Receptionist Foot and Ankle Clinic of the VirginiasFront Desk ReceptionistCharleston, WVPart timeThis role is responsible for a wide range of tasks, including patient service, appointment scheduling, data entry, electronic health record (EHR) management, and patient education. Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating updates to patients and staff.
Cornea Reimbursement Liaison - Charlotte, NC | Charleston, WV | Columbia, SC | Richmond, VA Glaukos CorpCornea Reimbursement Liaison - Charlotte, NC | Charleston, WV | Columbia, SC | Richmond, VACharleston, WVRemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
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 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.
Patient Access Liaison - TEPEZZA - Roanoke, VA Amgen IncPatient Access Liaison - TEPEZZA - Roanoke, VACharleston, WV$158,394–$185,578 / yearIn addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.
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.
AD, Access & Reimbursement (ADAR) CV - Lexington, KY NovartisAD, Access & Reimbursement (ADAR) CV - Lexington, KYCharleston, West VirginiaRemoteAccess And Reimbursement Strategy (Inactive), Agility (Inactive), Analytical Skill (Inactive), Analytical Thinking, Cross-Functional Collaboration, Customer-Centric Mindset (Inactive), Employee Development, Finance, Go-to-Market Strategies, Healthcare Policies, Healthcare Sector Understanding (Inactive), Health Economics, Health Technology Assessment (HTA), Innovation, Inspirational Leadership, Market Access Strategies, People Management, Process Management, Project Management, Public Affairs, Real World Evidence (RWE), Regulatory Compliance, Risk Management, Value Propositions Interact with large, complex accounts to support patient access within their aligned therapeutic area product(s), proactively provide face-to-face education on programs to providers and staff in order to support integration of those products into office processes and workflows.
Front Desk Receptionist US Foot and Ankle Specialists CareersFront Desk ReceptionistCharleston, West VirginiaThis role is responsible for a wide range of tasks, including patient service, appointment scheduling, data entry, electronic health record (EHR) management, and patient education. Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating updates to patients and staff.
Claims Analyst The Health PlanClaims AnalystCharleston, WVUnder the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines.
Field Reimbursement Manager - US Central Inspire Medical Systems Inc.Field Reimbursement Manager - US CentralCharleston, WVRemote$160,000–$190,000 / yearYou will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)WV$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Pre-Authorization Scheduling Coordinator Bariatric Clinic West Virginia University MedicinePre-Authorization Scheduling Coordinator Bariatric ClinicWVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process.
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.
Nursing Service Clerk Appalachian Regional Healthcare, Inc.Nursing Service ClerkHinton, West VirginiaFull timeMust possess physical abilities to endure prolonged sitting, moderate walking and standing, bending, lifting, carrying, pushing and pulling; exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Ability to operate routine office machines, including but not limited to postage meter, typewriter, display terminal and terminal printing, adding machine and fax machine.
Pre-Authorization Scheduling Coord West Virginia University MedicinePre-Authorization Scheduling CoordWVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)WVRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
NewLab Assistant Charleston Area Medical Center Health System IncLab AssistantHuntington, WVUtilize computer programs [HIS, LIS, Co-Path, Henacare, BACT/ALERT, Microscan DMS for department, etc.] to generate logs and patient reports, order tests, generate labels, perform result entry functions, miscellaneous charge function, verify and correct patient demographics, track blood products, enter product availability notification and billing information. 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.
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.
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.
Patient Services Rep/Phlebotomist (MAKO) The Health AlliancePatient Services Rep/Phlebotomist (MAKO)Lewisburg, West VirginiaObjects in the weight range of 1 to 15 pounds are lifted and carried frequently; objects in the weight range of 16 to 25 pounds are lifted and carried occasionally and objects in the weight range of 26 to 40 pounds are seldom lifted and carried. Read, understand and comply with departmental policies, protocols and procedures: (i.e. Procedure Manuals, Safety Manual, Compliance Manual, Automobile Policies and Procedures, Employee Handbook, Quality Assurance Manual); and ensure that all staff members follow instructions.
NewPatient 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.