Patient Billing Representative Five Star SolutionsPatient Billing RepresentativeCharleston, West VirginiaRemoteJoin us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistWest Virginia, WV$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Senior CABS Billing Analyst Lumos Networks Corp.Senior CABS Billing AnalystCharleston, WV$27.20–$38.46 / hourAbout Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry leading service and reliability. Role Overview: Senior Billing Analyst - Carrier Access Billing (CABS) is responsible for the accurate generation, validation, and reconciliation of carrier access billing in accordance with industry tariffs, regulatory guidelines, and interconnect agreements.
VP, Billing And Revenue Assurance Lumos Networks Corp.VP, Billing And Revenue AssuranceCharleston, WV$181,125–$226,485 / yearKey Competencies: Strong leadership, analytical, attention to detail, excellent oral and written communication, strong business acumenDeep understanding of billing systems, revenue recognition principles (ASC 606), and subscription/usage-based pricing modelsProven track record building or scaling billing/revenue assurance functions in a high growth environment. About Segra:Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry-leading service and reliability.
NewVP, Billing and Revenue Assurance Lumos Networks Corp.VP, Billing and Revenue AssuranceCharleston, WV$181,125–$226,485 / yearAbout Segra: Segra owns and operates a wide and dense fiber-optic infrastructure footprint that provides state-of-the-art connectivity, cybersecurity, voice, cloud and colocation solutions, all backed by industry-leading service and reliability. In this role, owns the end-to-end billing lifecycle (order entry, invoicing, revenue recognition support, and dispute resolution) and building the systems, controls, and teams needed to scale as the business grows.
Pre-Certification Specialist Charleston Area Medical Center Health System IncPre-Certification SpecialistCharleston, WVThe employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
Pre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular Center Charleston Area Medical Center Health System IncPre-Certification Specialist -- Vascular Center of Excellence -- Heart & Vascular CenterCharleston, WVThe employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System IncPatient Accounts Resolution Specialist -- Patient Accounts -- General HospitalCharleston, WVReview assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead Communicate identified system related issue to Department Manager, Supervisor, or Team Lead Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus.
Medical Equipment Customer Service Representative Tews CompanyMedical Equipment Customer Service RepresentativeCharleston, WVWe are seeking a dedicated Medical Equipment Customer Service Representative to be the friendly, efficient first point of contact for our patients and referral sources. Based in Charleston, this full-time role offers an opportunity to work in a fast-paced, patient-centered environment where your organizational skills and medical knowledge can truly shine.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWV$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeCharleston, 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.