Accounts Receivable/Billing Clerk Valley Healthcare SystemAccounts Receivable/Billing ClerkMorgantown, WVAssures the workflow for service correction is followed depending where in the cycle the service is in the billing cycle; unbilled in open accounting period, claimed, paid, or in a closed accounting period. Confirms 835, 270/271, 277, and 999 file is uploaded into Avatar and reviewed for acceptance, rejections, or errors and proceeds to research, correct, or inform responsible staff or department of the error.
Pharmacy Business Coordinator - Home Infusion (Billing and Revenue Cycle) West Virginia University MedicinePharmacy Business Coordinator - Home Infusion (Billing and Revenue Cycle)WVMINIMUM QUALIFICATIONS: EDUCATION, EXPERIENCE, CERTIFICATION, AND/OR LICENSURE: Bachelor's Degree in healthcare administration, business, finance, or related field AND one (1) year of business OR healthcare-related experience OR High School Diploma or Equivalent AND Nationally Certified Pharmacy Technician (PTCB or EXPT) upon hire AND two (2) years of healthcare-related experience OR Associate's Degree AND Nationally Certified Pharmacy Technician (PTCB or EXPT) upon hire AND one (1) year of healthcare-related experience. This position is responsible for conducting payer discussions, in-house financial audits, payer performance compliance, prepayment claims audit, CMS CERT audits, CMS Fraud, Waste, & Abuse audits, and auditing 3rd party payer compliance.
General Office / Customer Service / Billing Assistant... Reedsville, WV WoodfordGeneral Office / Customer Service / Billing Assistant... Reedsville, WVWVWoodford Oil Company, 14573 Veterans Memorial Hwy, Reedsville, WV 26547 is a leading distributor of branded commercial fuels and industrial lubricants plus ancillary products and services. Must be able to work amicably with other assistants, office assistants, virtual assistants, billing clerks or general accounting staff.
General Office / Customer Service / Billing Assistant Woodford Oil CompanyGeneral Office / Customer Service / Billing AssistantReedsville, WVFull timeResponsibilities• Perform daily work in ways that optimizes efficiency• Sort and distribute communications in a timely manner• Maintain trusting relationship with suppliers, customers and colleagues• Perform counter sales and help with walk-in customer service when necessary• Collect all information needed to enter and calculate invoices• Check the data input in the accounting system to ensure accuracy of final invoice• Receive and Assist with inbound call traffic, emails, or other forms of communication with customers and co-workers Requirements• Must be able to work amicably with other assistants, office assistants, virtual assistants, billing clerks or general accounting staff• Knowledge of MAC computer systems• Working knowledge of general office equipment• Excellent written and verbal communication skills• Able to lift 50 pounds• High School diploma. Woodford Oil Company, 14573 Veterans Memorial Hwy, Reedsville, WV 26547 is a leading distributor of branded commercial fuels and industrial lubricants plus ancillary products and services.
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.
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.
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).
NewProvider Enrollment Specialist West Virginia University MedicineProvider Enrollment SpecialistHarrison County, WVResponsible for the timely, efficient and accurate economic credentialing and provider enrollment of eligible West Virginia United Health System, WVU Health Sciences Eastern Division and WVU Health Sciences Charleston Division medical billing providers and facilities with contracted managed care and governmental plans. Regularly coordinates with IHS Vice Presidents, Administrators, Directors and Managers to obtain information for new facilities, practice locations, providers and services to be added under existing contracts for smooth revenue collection and contract compliance.
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.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNMorgantown, West VirginiaOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Patient Financial Advocate Firstsource SolutionsPatient Financial AdvocateMorgantown, WVThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeClarksburg, West VirginiaWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
NewUrgent Care Registration specialist West Virginia University MedicineUrgent Care Registration specialistWVCollects 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.
HVI Registration Specialist West Virginia University MedicineHVI Registration SpecialistMorgantown, 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.
Referral Specialist West Virginia University MedicineReferral SpecialistSaint Francis, WVCollects comprehensive detailed patient medical information, determining the need for nursing intervention and expediting care for those deemed urgent, interpreting and applying polices and procedures, providing financial education to customers regarding benefits to assist in their understanding of personal financial liability, and obtaining insurance verification and pre-certification. 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).
Insurance 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.
Registration Specialist West Virginia University MedicineRegistration SpecialistBridgeport, 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.
UHP-Registration Specialist-Float West Virginia University MedicineUHP-Registration Specialist-FloatWVCollects 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 - Ortho West Virginia University MedicineRegistration Specialist - OrthoMorgantown, 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-Part-Time-RapidCare West Virginia University MedicineRegistration Specialist-Part-Time-RapidCareWVCollects 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.