Jobs at WVU Medicine

Responsible for managing patient accounts, ensuring accurate claim submissions, compliance with billing regulations, and providing customer service. Tasks include resolving claims, follow-ups, and report preparation.

The Provider Enrollment Specialist manages provider enrollment in a complex payer credentialing environment, ensuring timely and compliant credentialing for medical billing providers and facilities.

Manage patient account balances, submit claims, follow-up on denials, ensure compliance with billing regulations, and provide excellent customer service.

The role involves building and analyzing EPIC HB contracts, designing reports, maintaining financial systems, and enhancing workflows for improved reimbursement in a healthcare setting.

The Insurance Claim Specialist manages patient accounts, submits claims, adheres to regulations, resolves issues, and provides excellent customer service while supporting the revenue cycle operations.

The Insurance Claims Specialist manages patient account balances, submits claims, resolves errors, and ensures compliance with billing regulations while providing excellent customer service.

The role involves obtaining authorizations for medical services, coding cases, escalating risks, and verifying documentation to ensure financial clearance.

The Senior Financial Applications Analyst manages financial applications, supports users, enhances systems, trains staff, and ensures data integrity and application functionality.

Oversees denial and appeal processes for the health system, manages clinical denial coordinators, and implements process improvements to reduce revenue loss.

The Enterprise Project Manager coordinates and manages healthcare project activities, ensuring timely delivery, compliance, and effective communication with teams and stakeholders.

Manage patient account balances, submit claims, follow-up with payers, resolve issues, and maintain compliance with billing regulations. Provide customer service and report support to achieve revenue cycle goals.

The Revenue Cycle BI Developer will design and implement data extraction solutions, conduct data analysis, and support reporting needs using various BI tools.

Responsible for managing denied claims in accounts receivable, including investigation, follow-ups, billing, and appeal writing to ensure compliance and maximize revenue.

Provide financial and statistical analyses for the WVU Medicine System, compiling data and creating reports to support decision-making for hospital leadership.

As an Insurance Claims Specialist, you will manage patient account balances, submit claims, resolve errors, and ensure compliance with billing regulations while providing excellent customer service.

Responsible for managing patient account balances, ensuring accurate claim submissions, compliance with regulations, and assisting in denial management to support revenue cycle operations.

Manage patient account balances by submitting accurate claims, following federal/state and payer regulations, resolving denials and unpaid claims, using payer portals, performing account reconciliations, producing reports, and providing excellent customer service to support revenue cycle operations.

Analyze contracts and forecast revenues using data analytics. Present reports to management, track reimbursement and negotiate with payers. Maintain databases and ensure data integrity.

The Reimbursement Analyst analyzes data for cost report and reimbursement audits, supports regulatory compliance, and communicates with various stakeholders. Requires strong analytical skills, knowledge of healthcare reimbursement regulations, and proficiency in relevant software.

The Pharmacy Analyst 340B supports pharmacy operations by managing financial activities, performing data analysis, and ensuring billing accuracy.