Insurance Claims Specialist at WVU Medicine - Remote

Role Overview

As an Insurance Claims Specialist at WVU Medicine, you will play a crucial role in ensuring the financial health of our organization. Your primary responsibility will be to manage patient account balances, which includes accurate claim submission, diligent follow-up, and effective denial management. You will be expected to comply with all federal, state, and third-party billing regulations to optimize revenue cycle operations. This role requires a combination of technical expertise, excellent customer service skills, and a commitment to teamwork.

A Day in the Life

Here’s a glimpse into a typical day for an Insurance Claims Specialist at WVU Medicine:

• Claim Submission: You’ll begin your day by preparing and submitting medical claims to various insurance companies. Accuracy is key, so you’ll carefully review each claim for errors or omissions.
• Follow-Up: You'll spend a significant portion of your day following up on submitted claims. This involves contacting insurance companies via phone or online portals to check on the status of claims and resolve any issues.
• Denial Management: When claims are denied, you'll investigate the reasons for the denial and take appropriate action. This could involve appealing the denial, providing additional documentation, or correcting errors in the claim.
• Customer Service: You’ll interact with patients and their families to answer questions about billing and insurance. Excellent communication skills are essential to provide clear and helpful information.
• Reporting: You'll prepare reports on claim submission rates, denial rates, and other key metrics. This data will help identify areas for improvement and optimize the billing process.
• Compliance: You'll stay up-to-date on the latest billing regulations and compliance requirements. WVU Medicine places a high priority on ethical billing practices, so this is an essential part of the job.
• Team Collaboration: You'll work closely with other members of the revenue cycle team to resolve complex billing issues. Teamwork and communication are key to achieving departmental goals.

Why Remote at WVU Medicine?

WVU Medicine offers a unique opportunity to work remotely as an Insurance Claims Specialist, providing you with the flexibility and autonomy to manage your work from the comfort of your home. Here’s why working remotely at WVU Medicine is a great choice:

• Flexibility: Remote work allows you to create a schedule that fits your lifestyle, enhancing your work-life balance.
• Autonomy: You'll have the independence to manage your daily tasks and responsibilities, fostering a sense of ownership and accountability.
• Reduced Commute: Eliminate the stress and expense of commuting, saving time and money.
• Supportive Environment: WVU Medicine provides the necessary tools and resources to ensure you can work effectively from home, including access to technology and ongoing training.
• Collaboration: Even though you’re working remotely, you’ll stay connected with your team through virtual meetings and collaborative platforms.

Career Path

WVU Medicine is committed to the professional growth of its employees. As an Insurance Claims Specialist, you'll have opportunities to advance your career in the revenue cycle department. Here are some potential career paths:

• Senior Insurance Claims Specialist: With experience, you can take on more complex cases and mentor junior team members.
• Denial Management Specialist: You can specialize in denial management, becoming an expert in appealing denied claims.
• Billing Supervisor: You can move into a supervisory role, overseeing a team of claims specialists.
• Revenue Cycle Analyst: You can transition into an analytical role, using data to identify trends and improve revenue cycle performance.

Salary & Benefits

WVU Medicine offers a competitive salary and benefits package to attract and retain top talent. The estimated salary range for an Insurance Claims Specialist is $35,000 to $55,000 per year, depending on experience and qualifications. In addition to salary, you'll receive a comprehensive benefits package that includes:

• Comprehensive health insurance plans (medical, dental, vision) including prescription drug coverage.
• Paid time off (PTO) for vacation, sick leave, and holidays to promote work-life balance.
• Retirement savings plans (401(k) or similar) with employer matching contributions to help secure your financial future.
• Life insurance and disability coverage to protect you and your family in case of unexpected events.
• Flexible spending accounts (FSAs) or health savings accounts (HSAs) to save on healthcare and dependent care expenses.
• Employee assistance programs (EAPs) offering confidential counseling and support services.
• Wellness programs promoting healthy lifestyles and preventive care.
• Tuition reimbursement or assistance for continuing education and professional development.
• Employee discounts on WVU Medicine services and products.

WVU Medicine Culture

WVU Medicine is more than just a healthcare provider; it’s a community of dedicated professionals committed to providing the best possible care to our patients. Our culture is built on the following core values:

• Patient-Centered Care: We put our patients first in everything we do.
• Integrity: We adhere to the highest ethical standards.
• Teamwork: We work together to achieve our goals.
• Innovation: We embrace new ideas and technologies.
• Excellence: We strive for excellence in all that we do.

How to Apply

If you’re ready to join the WVU Medicine team as an Insurance Claims Specialist, we encourage you to apply today. Simply click the “Apply” button at the top of this page and complete the online application. Be sure to highlight your relevant skills and experience, and tell us why you’re interested in working for WVU Medicine.

FAQ

1. What are the minimum qualifications for this role?

   A High School diploma or equivalent is required. One year of medical billing or medical office experience is preferred.

2. What skills are essential for success in this role?

   Essential skills include medical billing expertise, knowledge of third-party payer regulations, strong customer service skills, and excellent communication skills.

3. Is this a remote position?

   Yes, this is a remote position, allowing you to work from the comfort of your home.

4. What opportunities for career advancement are available?

   Career paths include Senior Insurance Claims Specialist, Denial Management Specialist, Billing Supervisor, and Revenue Cycle Analyst.

5. What is the salary range for this position?

   The estimated salary range is $35,000 to $55,000 per year, depending on experience and qualifications.

6. What benefits does WVU Medicine offer?

   WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement plans, and more.

7. What is the work culture like at WVU Medicine?

   WVU Medicine has a patient-centered culture built on integrity, teamwork, innovation, and excellence.

8. How do I apply for this position?

   Click the “Apply” button at the top of this page and complete the online application.

9. What technology and equipment will be provided for remote work?

   WVU Medicine provides the necessary technology and equipment to ensure you can work effectively from home, including a computer, headset, and access to software systems.

10. Are there opportunities for professional development and training?

    Yes, WVU Medicine is committed to the professional growth of its employees and offers opportunities for continuing education and training.