NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorMorgantown, WVRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Billing Specialist CORNERSTONE CARE, INC.Billing SpecialistPARemoteHandles patient phone calls, takes patient payments, sets up payment plans, reviews and researches patient accounts for purposes of identifying billing trends and maintaining a clean AR aging. POSITION SUMMARY: Responsible for preparing and submitting claims to appropriate insurances, working outstanding and rejected claims, corresponding with patients, reviewing and analyzing accounts receivable balances, and other duties as assigned to support the Billing Department.
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.
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.
Patient Access Specialist West Virginia University MedicinePatient Access SpecialistMorgantown, WVRotating Holidays Scheduled Weekly Hours: 20 Shift: Varied (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 545 WVUH Patient Access Address: 1 Medical Center Drive Morgantown West Virginia. Communicates and interacts with clients, families, visitors, physicians, departmental, and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s).
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).
Exercise Specialist West Virginia University MedicineExercise SpecialistMorgantown, WVCompletes all required feedback and communication to patient and healthcare team including EMR documentation and reports concerning education, exercise progression, exercise treatment, and monitored physiological and vital responses of the patient. Must provide care including the implementation and evaluation of exercise programs for cardiac patients in all phases of cardiac rehabilitation in collaboration with and under the supervision of the Exercise Physiologist, Cardiac Rehab RN and/or Physical Therapist.
Registration Specialist West Virginia University MedicineRegistration 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.
Exercise Specialist WVU MedicineExercise SpecialistMorgantown, West Virginia4. Completes all required feedback and communication to patient and healthcare team including EMR documentation and reports concerning education, exercise progression, exercise treatment, and monitored physiological and vital responses of the patient. 1. Must provide care including the implementation and evaluation of exercise programs for cardiac patients in all phases of cardiac rehabilitation in collaboration with and under the supervision of the Exercise Physiologist, Cardiac Rehab RN and/or Physical Therapist.
Registration Specialist - Colorectal Department West Virginia University MedicineRegistration Specialist - Colorectal DepartmentWVCollects 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.
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.
Ambulatory Charge Capture Analyst West Virginia University MedicineAmbulatory Charge Capture AnalystMorgantown, WVHigh school diploma AND six (6) years of experience in business analysis OR bachelor's degree in finance, business management, information technology/computer science, healthcare administration, nursing or related field AND two (2) years of experience in business analysis or similar role.\n \nEXPERIENCE: \n \n1. \n \nThe Ambulatory Charge Capture Analyst serves as an embedded revenue cycle specialist within assigned clinical department(s), ensuring accurate and complete charge capture for all billable services, procedures, and supplies.
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 Care Specialist Spectrum OpticalPatient Care SpecialistMorgantown, West VirginiaThe goal of this position is to provide clerical services which result in the accurate resolution of patient requests, such as scheduling appointments, placing orders, and communicating patient requests to other team members or clinicians. Copy all supporting documents needed for billing insurances (i.e., ID and insurance cards) and verify information in patients' charts.
Patient Registrar West Virginia University MedicinePatient RegistrarBridgeport, 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.
Patient Registrar (Grafton) West Virginia University MedicinePatient Registrar (Grafton)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.
PB Enterprise Coding Supervisor West Virginia University MedicinePB Enterprise Coding SupervisorHarrison County, WVExtensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Hospital Supervising 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 Supervisors. Will assist with the implementation and facilitation of ongoing medical coding/abstracting, auditing, monitoring, and physician/coder educational activities for existing and new clinics, locations and hospitals.
Patient Registrar PRN West Virginia University MedicinePatient Registrar PRNClarksburg, 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.
NewFloat Registration West Virginia University MedicineFloat RegistrationCamden, 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.
Regional Oncology Specialist - West Virginia Exact Sciences CorpRegional Oncology Specialist - West VirginiaMorgantown, WV$127,000–$191,000 / yearDevelop and implement a highly strategic and actionable tactical plan to maximize the utilization of our products in the most productive accounts while staying within budget; support corporate objectives and highlight the delivery of key selling messages and provide a high-level of customer service toward being the best-in-class provider. Working on the Oncology Sales team, the Lead Regional Oncology Specialist (Lead ROS) will develop and implement a plan to maximize the utilization of Exact Sciences' products in targeted accounts, while staying within budget, and support the corporate objectives and highlight the delivery of key selling messages.
Dental Receptionist CORNERSTONE CARE, INC.Dental ReceptionistUniontown, PACornerstone Care offers: Medical insurance, dental and vision coverage, life insurance, long-term disability insurance, 403 B retirement, flexible spending accounts for medical and dependent care, credit union, and a variety of additional voluntary benefits as well as a generous time off package. Cornerstone Care is a Non-Profit, Federally Qualified Health Center with 14 locations and a mobile unit, serving communities throughout Southwestern Pennsylvania, and Northern West Virginia.
NewDr. Challa - Support Staff West Virginia University MedicineDr. Challa - Support StaffMorgantown, 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.
Healthcare Receptionist CORNERSTONE CARE, INC.Healthcare ReceptionistPACornerstone Care offers: Medical insurance, dental and vision coverage, life insurance, long-term disability insurance, 403 B retirement, flexible spending accounts for medical and dependent care, credit union, and a variety of additional voluntary benefits as well as a generous time off package. Cornerstone Care is a Non-Profit, Federally Qualified Health Center with 14 locations and a mobile unit, serving communities throughout Southwestern Pennsylvania, and Northern West Virginia.
Referral Specialist West Virginia University MedicineReferral SpecialistMorgantown, 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).
Employee Training Specialist West Virginia University MedicineEmployee Training SpecialistMonongalia County, WVCoordinates and provides appropriate training of new employees and re-training for current employees to assure appropriate to assure appropriate revenue cycle processing and patient experience including patient registration, schedule management, insurance eligibility, and Point of Service Collections. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift.
Master Social Worker - MSW Fresenius Medical Care AG & Co KGaAMaster Social Worker - MSWMorgantown, WVSupports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice.
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.
New92Y Unit Supply Specialist - Warehouse Manager National Guard OMD92Y Unit Supply Specialist - Warehouse ManagerKingwood, WV$200–$250 / weekThrough your training, you will develop the skills and experience to enjoy a civilian career as a stock control clerk, parts clerk, or storekeeper with factories, repair shops, department stores or government warehouses and stockrooms. You will: ensure that all documents are prepared and organized; maintain automated systems; secure and control weapons and ammunition; and schedule and provide maintenance for weapons.