Insurance Claims Specialist - Remote

April 15

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WVU Medicine

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WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

neurosurgery • pediatrics • emergency medicine • cardiothoracic surgery • cancer services

10,000+ employees

⚕️ Healthcare Insurance

📋 Description

• Responsible for managing patient account balances including accurate claim submission and compliance. • Employs excellent customer service and communication skills. • Supports the department by completing reports and clerical duties. • Works with leadership and team members to achieve revenue cycle operations excellence. • Monitors accounts to facilitate timely follow-up and payment. • Provides excellent customer service to patients, visitors, and employees. • Works with supervisor and manager to develop and exceed annual goals.

🎯 Requirements

• High School diploma or equivalent. • One (1) year medical billing/medical office experience • Excellent oral and written communication skills. • Working knowledge of computers. • Knowledge of medical terminology preferred. • Knowledge of business math preferred. • Knowledge of ICD-10 and CPT coding processes preferred. • Excellent customer service and telephone etiquette. • Ability to use tact and diplomacy in dealing with others. • 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. • Ability to understand written and oral communication.

🏖️ Benefits

• Not specified