WVU Medicine
WVU Medicine
WVU Medicine वेस्ट वर्जीनिया विश्वविद्यालय से संबद्ध एक व्यापक स्वास्थ्य सेवा प्रणाली है, जो अस्पतालों और क्षेत्रीय चिकित्सा केंद्रों के माध्यम से पूरे वेस्ट वर्जीनिया में समुदायों की सेवा करती है। इसके नेटवर्क में J.W. Ruby Memorial Hospital और WVU Medicine Children’s शामिल हैं, जहाँ नियमित देखभाल, विशेषज्ञ चिकित्सा और रोबोटिक हृदय शल्य चिकित्सा जैसे उन्नत उपचार उपलब्ध हैं। मरीजों की देखभाल के साथ-साथ WVU Medicine चिकित्सा शिक्षा, नैदानिक अनुसंधान और सामुदायिक स्वास्थ्य पहलों का समर्थन करता है तथा एक बड़े स्वास्थ्य सेवा संगठन में विभिन्न अवसर प्रदान करता है।

Remote Insurance Claims Specialist at WVU Medicine

WVU Medicine seeks a remote Insurance Claims Specialist to manage hospital billing, submit and follow up on claims, resolve denials, and support patient account resolution. The role contributes to compliant revenue cycle operations and payer collections.

विवरण

  • Manage patient account balances through accurate claim submission, regulatory compliance, timely follow-up, and denial resolution
  • Support customers by addressing inquiries and resolving account-related issues
  • Prepare reports and perform clerical tasks as assigned
  • Submit complete and accurate claims to third-party payers on schedule
  • Correct claim edits and account discrepancies before submission
  • Follow up with third-party payers to support collections and departmental objectives
  • Compile statistics and prepare operational reports
  • Plan and prioritize daily work to promote productivity, accountability, and efficiency
  • Apply HIPAA requirements and Notices of Privacy Practices when handling PHI and submitting or following up on claims
  • Contact third-party payers to resolve outstanding claims
  • Use payer portals and websites to check claim status and perform account follow-up
  • Support Patient Access and Care Management with denial research and resolution
  • Participate in required educational programs, department meetings, teleconferences, and webcasts
  • Research and process returned mail and claims rejected by payers
  • Reconcile billing transactions and process billing and follow-up activity accurately and promptly
  • Keep current with federal, state, and local hospital billing regulations
  • Monitor accounts to ensure prompt follow-up and payment while maximizing cash receipts
  • Maintain assigned work queue volumes and productivity within established standards
  • Deliver courteous and effective service to patients, visitors, and employees
  • Contribute to performance improvement efforts
  • Partner with the supervisor and manager to establish and exceed annual objectives
  • Protect the confidentiality of demographic, clinical, and financial information
  • Escalate workflow issues to management promptly

आवश्यकताएँ

  • High school diploma or equivalent
  • Preferred: one year of medical billing or medical office experience
  • Strong verbal and written communication skills
  • Working knowledge of computers
  • Excellent customer service skills and telephone etiquette
  • Ability to use tact and diplomacy when interacting with others
  • Preferred: familiarity with medical terminology
  • Preferred: knowledge of business mathematics
  • Preferred: knowledge of ICD-10 and CPT coding procedures
  • Knowledge of revenue cycle operations, third-party reimbursement, payer relations, claims adjudication, contractual claims processing, credit balance resolution, and general reimbursement practices
  • Ability to understand written and spoken instructions
  • Ability to remain seated for extended periods
  • Ability to read and comprehend information
  • Visual acuity within the normal range
  • Ability to communicate effectively
  • Manual dexterity to operate keyboards, fax machines, telephones, and other business equipment

लाभ

  • Access to educational programs supporting mandatory requirements and identified professional or personal development needs
  • Reasonable accommodations may be provided so individuals with disabilities can perform essential job functions

संबंधित नौकरियाँ

GSK

Director of Clinical Operations, Asset Lead

GSK

Lead GSK’s clinical operations strategy and delivery for vaccines and medicines across an asset’s lifecycle. Oversee planning, governance, vendors, risks, and inspection readiness.

खोलें
Philips

Clinical Study Manager, Medical Devices — Pennsylvania Remote

Philips

Lead compliant medical device clinical studies for Philips, coordinating sites, documentation, data quality, budgets, and regulatory readiness. This remote role requires local proximity to Pittsburgh, Pennsylvania.

खोलें
University of Wisconsin-Madison

Clinical Operations Coordinator, Emergency Medicine

University of Wisconsin-Madison

Coordinate clinical scheduling, quality initiatives, reporting, and administrative workflows for UW–Madison Emergency Medicine. Support emergency care teams by organizing resources, tracking projects, and coordinating departmental operations.

खोलें
Amber Labs

Remote Customer Support Specialist in Arizona | Amber Labs

Amber Labs

Help Amber Labs customers resolve questions by phone and email, keep interaction records accurate, and coordinate timely solutions while working remotely.

खोलें
Patrianna

Customer Support Agent

Patrianna

Support Patrianna’s social gaming players through email, live chat, and social media. Resolve escalated cases and help maintain service levels.

खोलें
Patrianna

Customer Support Agent (Remote, Philippines)

Patrianna

Support Patrianna’s social gaming players through email, live chat, and social media. Resolve escalated cases and help maintain service levels across support operations.

खोलें
Electrolux Group

Nordic Consumer Service Specialist

Electrolux Group

Manage business customer orders, enquiries and deliveries across the Nordic region at Electrolux Group. Use SAP and customer service systems to support fulfilment and service performance.

खोलें
inDrive

Customer Support Specialist – inDrive, Kuala Lumpur

inDrive

Support customers of inDrive’s mobility platform through chat, email, and occasional calls. Resolve service issues, handle refunds, and help meet customer satisfaction and quality targets.

खोलें
XTB online investing

Junior Customer Support Specialist (Czech)

XTB online investing
1,001 – 5,000 कर्मचारी
B2Cफिनटेकवित्त

Support Czech- and Slovak-speaking clients at XTB, a financial technology company. Handle inquiries, maintain CRM records, and follow financial market developments.

खोलें
Humblebee

Data Engineer / Data Scientist – Machine Learning and Generative AI

Humblebee
11 – 50 कर्मचारी
B2BSaaS

Build machine-learning and generative AI solutions at Swedish digital service studio Humblebee, turning client challenges into scalable data products.

खोलें