Jobs at WVU Medicine

The Payor Specialist handles clinical information for payors, ensuring timely certification for hospitalizations and managing communications about coverage determinations and denials.

The Senior Insurance Claims Specialist manages patient account balances, submits claims, resolves errors, adheres to regulations, and provides customer support while ensuring optimal revenue cycle operations.

The Payor Specialist manages clinical information flow between payors and healthcare teams, ensures utilization review processes, and maintains patient confidentiality while supporting insurance communications.

The Provider Enrollment Specialist manages provider enrollment and credentialing, ensuring compliance and communication with various healthcare stakeholders to facilitate timely reimbursement.

The role involves obtaining authorizations for elective infusions and injections, ensuring financial clearance and reimbursement by verifying payer requirements, coding cases, and serving as a liaison between clinical teams and pharmacists.

The Associate BOS role involves data analysis, process improvement, and project coordination using various reporting tools and database structures to enhance operational effectiveness and user experience.

Responsible for managing patient accounts, ensuring accurate claim submissions, compliance with billing regulations, and providing customer service. Tasks include resolving claims, follow-ups, and report preparation.

The Provider Enrollment Specialist manages provider enrollment in a complex payer credentialing environment, ensuring timely and compliant credentialing for medical billing providers and facilities.

Manage patient account balances, submit claims, follow-up on denials, ensure compliance with billing regulations, and provide excellent customer service.

The role involves building and analyzing EPIC HB contracts, designing reports, maintaining financial systems, and enhancing workflows for improved reimbursement in a healthcare setting.

The Insurance Claim Specialist manages patient accounts, submits claims, adheres to regulations, resolves issues, and provides excellent customer service while supporting the revenue cycle operations.

The Insurance Claims Specialist manages patient account balances, submits claims, resolves errors, and ensures compliance with billing regulations while providing excellent customer service.

The Senior Financial Applications Analyst manages financial applications, supports users, enhances systems, trains staff, and ensures data integrity and application functionality.

Oversees denial and appeal processes for the health system, manages clinical denial coordinators, and implements process improvements to reduce revenue loss.

The Enterprise Project Manager coordinates and manages healthcare project activities, ensuring timely delivery, compliance, and effective communication with teams and stakeholders.

Manage patient account balances, submit claims, follow-up with payers, resolve issues, and maintain compliance with billing regulations. Provide customer service and report support to achieve revenue cycle goals.

The Revenue Cycle BI Developer will design and implement data extraction solutions, conduct data analysis, and support reporting needs using various BI tools.

Responsible for managing denied claims in accounts receivable, including investigation, follow-ups, billing, and appeal writing to ensure compliance and maximize revenue.

Provide financial and statistical analyses for the WVU Medicine System, compiling data and creating reports to support decision-making for hospital leadership.

Responsible for managing patient account balances, ensuring accurate claim submissions, compliance with regulations, and assisting in denial management to support revenue cycle operations.