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.
Client Service Center Specialist CB Financial Services, Inc.Client Service Center SpecialistWaynesburg, PASummary/Objective: The Client Service Center Specialist serves as the first point of contact for Bank clients, providing exceptional service and support through various communication channels including phone, email, and chat. Support timely claim handling by ensuring that all claims are promptly entered into the Bank's dispute resolution system and coordinating with Deposit Operations, Fraud, Compliance, or other designated departments for review, escalation, client communication, and final resolution where appropriate.
NewSr. Solutions Service Specialist MSC Industrial Direct Co IncSr. Solutions Service SpecialistBridgeport, WV$23.37–$28.56 / hourWith more than one million product offerings and 80+ years of experience across industries, MSC strives to help our customers achieve greater productivity, profitability, and growth through inventory management and other innovative supply chain solutions. Communicate with key customer personnel in a timely, professional and courteous manner to resolve customer issues related to our Inventory Management solutions, proactive problem solving, and direct customers on where to go for what.
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.
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.
Behavioral Health Support Specialist ll, Extended Psychiatric Unit Penn Highlands HealthcareBehavioral Health Support Specialist ll, Extended Psychiatric UnitConnellsville, PABHSS II staff support residents in achieving treatment goals, enhancing daily living and independent living skills, participating in therapeutic programming and preparing for successful reintegration into the community. At least 1-2 years of experience in Behavioral Health, Human Services, Residential Care, Psychiatric Rehabilitation, or Recovery Oriented setting preferred.
Behavioral Health Support Specialist, Extended Psychiatric Unit Penn Highlands HealthcareBehavioral Health Support Specialist, Extended Psychiatric UnitConnellsville, PAThis position serves as the first step in a structured workforce ladder, offering opportunities to progress into higher level roles learning and demonstrating skills required for future progression. Ability to de-escalate crisis situations; Ability to work with culturally-diverse families and communities with the ability to be culturally sensitive, compassionate, and non-judgmental.
Behavioral Health Support Specialist lll, Extended Psychiatric Unit Penn Highlands HealthcareBehavioral Health Support Specialist lll, Extended Psychiatric UnitConnellsville, PAThis role provides leadership within the therapeutic milieu, mentors BHSS I and II staff, facilitates complex group and individual interventions, and ensures recovery-oriented, trauma informed care is consistently delivered. QUALIFICATIONS: High School Diploma or equivalent required, Bachelor's Degree in Psychology, Social Work, or related field required unless employee is progressing through BHSS II track.
Neuroscience Therapeutic Sales Specialist (Pittsburgh S, PA) Compass PathwaysNeuroscience Therapeutic Sales Specialist (Pittsburgh S, PA)Morgantown, WV$165,000–$195,000 / yearThis role will execute against the regional commercial strategy by developing strong partnerships with psychiatrists, healthcare providers, and integrated care systems, while ensuring alignment with regulatory, safety, and patient access frameworks. Our initial focus is developing COMP360 psilocybin, a proprietary, investigational, synthetic psilocybin treatment under evaluation for treatment-resistant depression (TRD) and post-traumatic stress disorder (PTSD).
Delivery Specialist O'Reilly Automotive IncDelivery SpecialistStar City, WVOther additional duties as assigned, including customer service, sweeping, general stocking and straightening stock, merchandising, running errands, handling core returns, checking in and putting up stock orders, etc. Ability to use delivery fleet management hand-held devices to process deliveries, capture customer signatures, update vehicle mileage, complete daily vehicle inspections, etc.
Parts Specialist O'Reilly Automotive IncParts SpecialistFairmont, WVProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
Retail Service Specialist O'Reilly Automotive IncRetail Service SpecialistUniontown, PAPerform all store opening/closing duties, including performing day end procedures, verifying/securing money/deposits according to company policy, preparing bank deposits as needed, ensuring all night security lights are on, locking doors and securing building, arming/disarming security alarms, and checking/securing/locking delivery vehicle(s) parked in secure designated area. Ensure retail customer returns and exchanges are processed in an efficient and friendly manner, refunds are issued accurately using the correct payment methods, and returned merchandise is processed or staged in the returns area correctly.
Delivery Specialist-2 O'Reilly Automotive IncDelivery Specialist-2Star City, WVOther additional duties as assigned, including customer service, sweeping, general stocking and straightening stock, merchandising, running errands, handling core returns, checking in and putting up stock orders, etc. Ability to use delivery fleet management hand-held devices to process deliveries, capture customer signatures, update vehicle mileage, complete daily vehicle inspections, etc.
Peer Recovery Support Specialist (Bridgeport) COMMUNITY CARE OF WEST VIRGINIA, INC.Peer Recovery Support Specialist (Bridgeport)Bridgeport, WVWhile performing the duties of this job, employees are regularly required to use written and oral communication skills; Read and interpret data, information, and documents; Analyze and solve non-routine and complex office administrative problems; Use math and mathematical reasoning; Observe and interpret situations; Learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; And interact with supervisors, staff, patients, the public, and others encountered in the course of work, some of whom may be dissatisfied or abusive individuals. Job Objective: The Peer Support Specialist is responsible for assisting individuals in recovery through education and coaching, focusing on self-sufficiency, development, and maintenance of skills and stabilizing symptoms that present as barriers to success.
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.
Insurance Specialist West Virginia University MedicineInsurance SpecialistBridgeport, WVCommunicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection.
Mental Health Specialist- Center for Hope and Healing (Nights) West Virginia University MedicineMental Health Specialist- Center for Hope and Healing (Nights)WVPerforms basic medical tasks (i.e. obtains and documents vital signs, collects urine and stool samples, weighs clients, witnessing controlled substance wastes, obtaining blood glucose levels) and exhibits a willingness to learn additional tasks. This includes therapeutically supporting and reinforcing clients' appropriate and pro-social behavior and negatively reinforcing and setting limits in a therapeutic and consistent manner clients' inappropriate and antisocial behavior, within program guidelines.
Mental Health Specialist-6 West Virginia University MedicineMental Health Specialist-6Morgantown, WVPerforms basic medical tasks (i.e. obtains and documents vital signs, collects urine and stool samples, weighs clients, witnessing controlled substance wastes, obtaining blood glucose levels) and exhibits a willingness to learn additional tasks. This includes therapeutically supporting and reinforcing clients' appropriate and pro-social behavior and negatively reinforcing and setting limits in a therapeutic and consistent manner clients' inappropriate and antisocial behavior, within program guidelines.
Insurance Specialist - EEG and Sleep Lab West Virginia University MedicineInsurance Specialist - EEG and Sleep LabWVCommunicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection.