WVU Medicine

Codes inpatient records and interventional radiology for accurate billing

Senior Insurance Claims Specialist managing patient account balances at WVU Medicine

This director oversees the daily operational performance, standardization, and optimization of all hospital-owned retail pharmacies, leading initiatives to improve efficiency, quality, and customer experience across the system. Key duties include managing operational budgets, ensuring regulatory compliance, supervising site managers, and driving strategic growth opportunities for the pharmacy network.

This role is responsible for scheduling, canceling, and rescheduling outpatient visits and procedures for multiple clinics by collecting all necessary registration information. Key duties include checking patients in and out, verifying guarantor information, coordinating follow-up appointments, and collecting payments and signatures.

The specialist is responsible for ensuring accurate and appropriate information gathering into coding classification systems to meet departmental and external agency requirements, focusing on accurate reimbursement and compliance. This involves coding inpatients and/or interventional radiology procedures for 90% of the full-time equivalent status, handling highly complex patient classes.

The representative handles inbound calls from members regarding general and complex inquiries, while also making outbound calls for issue resolution or information gathering. Key duties include verifying member information, resolving issues to ensure a seamless experience, and maintaining required production and quality standards.

Customer Service Representative resolving billing concerns at healthcare provider

MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School diploma/GED EXPERIENCE: 1. Two (2) years of customer service experience in a call center environment PREFERRED QUALIFICATIONS : 1. Associate Degree, or greater, in related healthcare field. 1. Two...

The representative will handle inbound and outbound calls for Medicare Advantage members and providers, addressing general information requests up to complex inquiries regarding a wide range of issues. This role involves researching and resolving member issues while maintaining production and quality standards.

This role directs the establishment and maintenance of accounting principles, practices, and procedures, managing functions like general accounting, budgeting, accounts receivables, and financial reporting for assigned service lines. The director is also responsible for developing robust financial models and executive-ready presentations to communicate insights to senior leadership.