NewMaster Social Worker - MSW Fresenius Medical CareMaster 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. 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.
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.
NewInsurance 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, WVCommunicates 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). Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing duties throughout the work shift.
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.
NewRegistration 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.
Enterprise Provider Compliance Auditor-Educator West Virginia University MedicineEnterprise Provider Compliance Auditor-EducatorWVEvaluates the scope of the audit and develops/completes the required compilation of data analytical reports (independently of IT and/or Data Analytics) from the appropriate application or software in order to identify the audit universe and then select the appropriate sample based on the scope of the audit criteria. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate's Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding.
NewCustomer Quality and Claims Specialist Service WireCustomer Quality and Claims SpecialistWest VirginiaCheck records, such as bills, computer printouts, and related documents and correspondence, and converse or correspond with customer and other company personnel, such as sales, shipping, engineering, and credit, to obtain facts regarding customer complaint. Position Summary: The Customer Quality and Claims Specialist supports internal and external customers by managing product claims, returns, and quality related inquiries.
NewMedical Equipment Branch Manager Rotech Healthcare Inc.Medical Equipment Branch ManagerClarksburg, 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. If you have a background in healthcare management—especially in respiratory therapy or DME—and are passionate about delivering exceptional patient care through operational excellence, this is your opportunity to lead a high-impact team.
Professional Coding Specialist II-(Interventional Radiology) West Virginia University MedicineProfessional Coding Specialist II-(Interventional Radiology)Preston County, WVRemoteAccurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
Inpatient Hospital Coding Specialist II West Virginia University MedicineInpatient Hospital Coding Specialist IIMonongalia County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Special Education Teacher LD/BD/ID/DD P-1805 West Virginia Department of EducationSpecial Education Teacher LD/BD/ID/DD P-1805WVLength of Employment: 200 DaysJob Description: The special education teacher is assigned to deliver a comprehensive individualized program in accordance with state law, West Virginia Board of Education and county policies/regulations, based on the student needs per the student IEP.Qualifications: Holds or qualifies for a West Virginia Professional Teaching Certificate endorsed for the areas of exceptionalities listed on the job posting. Attend all staff development required per job responsibilities (school and county based, IEP training, Medicaid training, and any other trainings required per student IEP or the Special Education department).
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 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.
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.
NewPatient Registrar (Neurology) West Virginia University MedicinePatient Registrar (Neurology)Bridgeport, 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.
AVP Ambulatory Operations West Virginia University MedicineAVP Ambulatory OperationsWVPresentations of Ambulatory Services monthly updates to leadership forum (WVUH manager, director, administrator, and Senior Management); to ACMC (manager, director, administrator, medical director, chair) and monthly review with departmental chairman and administrators to review clinical stats, staffing models, budget performance, and marketing strategies. Reporting to the Vice President, this position will be expected to plan, evaluate, develop and implement new clinic services and programs, oversee the operations of the clinic network, assist in the development of new clinics and develop and implement the strategy for WVU Medicine ambulatory services.
Referral Specialist West Virginia University MedicineReferral SpecialistWVCollects 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).