Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now!
WVU Medicine
Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now!
Job Description
Insurance Claims Specialist - Remote Opportunity at WVU Medicine
Are you a detail-oriented and dedicated professional with a passion for ensuring accurate and timely healthcare billing? WVU Medicine is seeking a skilled Insurance Claims Specialist to join our remote team. In this role, you will be responsible for managing patient account balances, submitting claims, following up with payers, and providing excellent customer service. If you have a strong understanding of medical billing processes and a commitment to excellence, we encourage you to apply!
Role Overview
As an Insurance Claims Specialist at WVU Medicine, you will play a crucial role in our revenue cycle operations. You will be responsible for the accurate and timely submission of insurance claims, follow-up on unpaid claims, and resolution of claim denials. Your attention to detail, knowledge of billing regulations, and excellent communication skills will be essential to your success in this position.
A Day in the Life
Here’s a glimpse into what a typical day might look like for an Insurance Claims Specialist at WVU Medicine:
- Claim Submission: Reviewing patient accounts and submitting electronic or paper claims to insurance companies.
- Claim Follow-Up: Contacting insurance companies to check on the status of claims and resolve any issues preventing payment.
- Denial Management: Analyzing denied claims and taking appropriate action to appeal or correct the claim for resubmission.
- Account Reconciliation: Reconciling patient accounts to ensure accuracy and identify any discrepancies.
- Customer Service: Answering patient inquiries regarding billing and insurance matters and providing excellent customer service.
- Compliance: Staying up-to-date on billing regulations and ensuring compliance with all applicable laws and policies.
- Reporting: Preparing reports on claim submission, follow-up, and denial management activities.
Why Remote with WVU Medicine?
Working remotely as an Insurance Claims Specialist at WVU Medicine offers numerous advantages:
- Flexibility: Enjoy a flexible work schedule that allows you to balance your professional and personal life.
- Convenience: Eliminate the commute and work from the comfort of your own home.
- Productivity: Create a customized workspace that promotes focus and productivity.
- Cost Savings: Save money on commuting expenses, lunches, and professional attire.
- Work-Life Balance: Achieve a better work-life balance, reducing stress and improving overall well-being.
Career Path
WVU Medicine is committed to providing opportunities for career growth and advancement. As an Insurance Claims Specialist, you can advance your career through:
- Senior Insurance Claims Specialist: Taking on more complex cases and mentoring junior team members.
- Denial Management Specialist: Specializing in the resolution of denied claims and working to improve denial prevention strategies.
- Billing Supervisor: Overseeing a team of Insurance Claims Specialists and ensuring the efficient operation of the billing department.
- Revenue Cycle Manager: Managing all aspects of the revenue cycle, from claim submission to payment posting.
Salary & Benefits
WVU Medicine offers a competitive salary and benefits package for Insurance Claims Specialists. The estimated salary range for this position is $35,000 to $55,000 per year, depending on experience and qualifications. In addition to salary, WVU Medicine provides a comprehensive benefits package, including:
- Health, dental, and vision insurance
- Paid time off and vacation policy
- Retirement savings plans with employer matching
- Life insurance and disability coverage
- Flexible spending accounts
- Employee assistance programs
- Wellness programs
- Tuition reimbursement
- Employee discounts
WVU Medicine Culture
WVU Medicine is committed to creating a positive and supportive work environment for all employees. We value teamwork, collaboration, and a commitment to excellence. Our employees are passionate about providing high-quality care to our patients and are dedicated to making a difference in the communities we serve.
How to Apply
To apply for the Insurance Claims Specialist position at WVU Medicine, please click the “Apply” button located at the top of this page and complete the application in full.
Frequently Asked Questions (FAQ)
- What are the minimum qualifications for this position?
A high school diploma or equivalent is required. One year of medical billing or medical office experience is preferred.
- What skills are essential for success in this role?
Essential skills include medical billing knowledge, claim submission experience, denial management expertise, customer service skills, and excellent communication skills.
- What are the primary responsibilities of an Insurance Claims Specialist?
Primary responsibilities include submitting accurate claims, following up on unpaid claims, resolving claim denials, and providing excellent customer service.
- What benefits does WVU Medicine offer to its employees?
WVU Medicine offers a comprehensive benefits package, including health, dental, and vision insurance, paid time off, retirement savings plans, and more.
- What is the career path for an Insurance Claims Specialist at WVU Medicine?
Career paths include Senior Insurance Claims Specialist, Denial Management Specialist, Billing Supervisor, and Revenue Cycle Manager.
- What is the work environment like at WVU Medicine?
WVU Medicine is committed to creating a positive and supportive work environment where employees are valued and encouraged to grow.
- Is this a remote position?
Yes, this is a remote position.
- What software or systems experience is beneficial for this role?
Experience with electronic health record (EHR) systems, billing software, and payer portals is highly beneficial.
- What is the typical work schedule for this position?
The typical work schedule is Monday through Friday, 8:00 AM to 5:00 PM, but may vary depending on departmental needs.
- How does WVU Medicine support employee growth and development?
WVU Medicine offers tuition reimbursement, professional development opportunities, and a supportive environment for career advancement.
Locations
- Remote, West Virginia, United States (Remote)
Salary
38,500 - 60,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Medical Billingintermediate
- Claim Submissionintermediate
- Denial Managementintermediate
- Third Party Payer Regulationsintermediate
- Customer Serviceintermediate
- Oral Communicationintermediate
- Written Communicationintermediate
- Reportingintermediate
- Clerical Dutiesintermediate
- Revenue Cycle Operationsintermediate
- HIPAA Complianceintermediate
- Data Entryintermediate
- Account Reconciliationintermediate
- Problem Solvingintermediate
- Time Managementintermediate
- Payer Portalsintermediate
- Payer Websitesintermediate
- Patient Accessintermediate
- Care Managementintermediate
- Insurance Verificationintermediate
- Electronic Health Records (EHR)intermediate
- Collectionsintermediate
- Customer Supportintermediate
- Data Analysisintermediate
Required Qualifications
- High School diploma or equivalent required. (experience)
- One (1) year of medical billing or medical office experience preferred. (experience)
- Knowledge of medical terminology. (experience)
- Familiarity with ICD-10 and CPT coding. (experience)
- Understanding of HIPAA regulations and patient privacy practices. (experience)
- Proficiency in using computer software and billing systems. (experience)
- Strong attention to detail and accuracy. (experience)
- Excellent organizational and time management skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Strong problem-solving and analytical skills. (experience)
- Effective communication skills, both written and verbal. (experience)
- Ability to maintain confidentiality of patient information. (experience)
- Commitment to providing excellent customer service. (experience)
- Understanding of third-party payer requirements and processes. (experience)
Responsibilities
- Submits accurate and timely claims to third-party payers.
- Resolves claim edits and account errors prior to claim submission to ensure clean claims.
- Adheres to appropriate procedures and timelines for follow-up with third-party payers to ensure collections and exceed department goals.
- Gathers statistics, completes reports, and performs other duties as scheduled or requested by supervisors.
- Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability, and efficiency.
- Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up to maintain patient confidentiality.
- Contacts third-party payers to resolve unpaid claims and escalate issues as necessary.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up, maximizing efficiency.
- Assists Patient Access and Care Management with denials investigation and resolution, contributing to revenue cycle improvement.
- Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
- Attends department meetings, teleconferences, and webcasts as necessary to stay informed and collaborate with team members.
- Researches and processes mail returns and claims rejected by the payer, addressing root causes to prevent recurrence.
- Reconciles billing account transactions to ensure accurate account information according to established procedures.
- Processes billing and follow-up transactions in an accurate and timely manner to minimize revenue leakage.
- Develops and maintains working knowledge of all federal, state, and local regulations pertaining to professional billing to ensure compliance.
- Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts and improve financial performance.
- Maintains work queue volumes and productivity within established guidelines to meet performance expectations.
- Provides excellent customer service to patients, visitors, and employees, addressing inquiries and resolving issues promptly.
- Participates in performance improvement initiatives as requested, contributing to the ongoing improvement of revenue cycle processes.
- Works with supervisor and manager to develop and exceed annual goals, aligning individual performance with organizational objectives.
- Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers, and the public regarding demographic/clinical/financial information.
- Communicates problems hindering workflow to management in a timely manner, facilitating prompt resolution and minimizing disruptions.
Benefits
- general: Comprehensive health insurance plans, including medical, dental, and vision coverage.
- general: Generous paid time off (PTO) and vacation policy to promote work-life balance.
- general: Retirement savings plans with employer matching contributions to help secure your financial future.
- general: Life insurance and disability coverage to protect you and your family in case of unexpected events.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses to save on taxes.
- general: Employee assistance programs (EAPs) offering confidential counseling and support services.
- general: Wellness programs promoting healthy lifestyles and preventive care.
- general: Tuition reimbursement and professional development opportunities to support career growth.
- general: Employee discounts on various products and services.
- general: On-site childcare facilities or childcare assistance programs to help working parents.
- general: Commuter benefits and transportation assistance to reduce commuting costs.
- general: Recognition programs and awards to celebrate employee achievements.
- general: Opportunities for advancement and career progression within WVU Medicine.
- general: A supportive and collaborative work environment.
- general: Access to state-of-the-art technology and resources to enhance your performance.
Tags & Categories
Answer 10 quick questions to check your fit for Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now! @ WVU Medicine.
Related Books and Jobs
Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now!
WVU Medicine
Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now!
Job Description
Insurance Claims Specialist - Remote Opportunity at WVU Medicine
Are you a detail-oriented and dedicated professional with a passion for ensuring accurate and timely healthcare billing? WVU Medicine is seeking a skilled Insurance Claims Specialist to join our remote team. In this role, you will be responsible for managing patient account balances, submitting claims, following up with payers, and providing excellent customer service. If you have a strong understanding of medical billing processes and a commitment to excellence, we encourage you to apply!
Role Overview
As an Insurance Claims Specialist at WVU Medicine, you will play a crucial role in our revenue cycle operations. You will be responsible for the accurate and timely submission of insurance claims, follow-up on unpaid claims, and resolution of claim denials. Your attention to detail, knowledge of billing regulations, and excellent communication skills will be essential to your success in this position.
A Day in the Life
Here’s a glimpse into what a typical day might look like for an Insurance Claims Specialist at WVU Medicine:
- Claim Submission: Reviewing patient accounts and submitting electronic or paper claims to insurance companies.
- Claim Follow-Up: Contacting insurance companies to check on the status of claims and resolve any issues preventing payment.
- Denial Management: Analyzing denied claims and taking appropriate action to appeal or correct the claim for resubmission.
- Account Reconciliation: Reconciling patient accounts to ensure accuracy and identify any discrepancies.
- Customer Service: Answering patient inquiries regarding billing and insurance matters and providing excellent customer service.
- Compliance: Staying up-to-date on billing regulations and ensuring compliance with all applicable laws and policies.
- Reporting: Preparing reports on claim submission, follow-up, and denial management activities.
Why Remote with WVU Medicine?
Working remotely as an Insurance Claims Specialist at WVU Medicine offers numerous advantages:
- Flexibility: Enjoy a flexible work schedule that allows you to balance your professional and personal life.
- Convenience: Eliminate the commute and work from the comfort of your own home.
- Productivity: Create a customized workspace that promotes focus and productivity.
- Cost Savings: Save money on commuting expenses, lunches, and professional attire.
- Work-Life Balance: Achieve a better work-life balance, reducing stress and improving overall well-being.
Career Path
WVU Medicine is committed to providing opportunities for career growth and advancement. As an Insurance Claims Specialist, you can advance your career through:
- Senior Insurance Claims Specialist: Taking on more complex cases and mentoring junior team members.
- Denial Management Specialist: Specializing in the resolution of denied claims and working to improve denial prevention strategies.
- Billing Supervisor: Overseeing a team of Insurance Claims Specialists and ensuring the efficient operation of the billing department.
- Revenue Cycle Manager: Managing all aspects of the revenue cycle, from claim submission to payment posting.
Salary & Benefits
WVU Medicine offers a competitive salary and benefits package for Insurance Claims Specialists. The estimated salary range for this position is $35,000 to $55,000 per year, depending on experience and qualifications. In addition to salary, WVU Medicine provides a comprehensive benefits package, including:
- Health, dental, and vision insurance
- Paid time off and vacation policy
- Retirement savings plans with employer matching
- Life insurance and disability coverage
- Flexible spending accounts
- Employee assistance programs
- Wellness programs
- Tuition reimbursement
- Employee discounts
WVU Medicine Culture
WVU Medicine is committed to creating a positive and supportive work environment for all employees. We value teamwork, collaboration, and a commitment to excellence. Our employees are passionate about providing high-quality care to our patients and are dedicated to making a difference in the communities we serve.
How to Apply
To apply for the Insurance Claims Specialist position at WVU Medicine, please click the “Apply” button located at the top of this page and complete the application in full.
Frequently Asked Questions (FAQ)
- What are the minimum qualifications for this position?
A high school diploma or equivalent is required. One year of medical billing or medical office experience is preferred.
- What skills are essential for success in this role?
Essential skills include medical billing knowledge, claim submission experience, denial management expertise, customer service skills, and excellent communication skills.
- What are the primary responsibilities of an Insurance Claims Specialist?
Primary responsibilities include submitting accurate claims, following up on unpaid claims, resolving claim denials, and providing excellent customer service.
- What benefits does WVU Medicine offer to its employees?
WVU Medicine offers a comprehensive benefits package, including health, dental, and vision insurance, paid time off, retirement savings plans, and more.
- What is the career path for an Insurance Claims Specialist at WVU Medicine?
Career paths include Senior Insurance Claims Specialist, Denial Management Specialist, Billing Supervisor, and Revenue Cycle Manager.
- What is the work environment like at WVU Medicine?
WVU Medicine is committed to creating a positive and supportive work environment where employees are valued and encouraged to grow.
- Is this a remote position?
Yes, this is a remote position.
- What software or systems experience is beneficial for this role?
Experience with electronic health record (EHR) systems, billing software, and payer portals is highly beneficial.
- What is the typical work schedule for this position?
The typical work schedule is Monday through Friday, 8:00 AM to 5:00 PM, but may vary depending on departmental needs.
- How does WVU Medicine support employee growth and development?
WVU Medicine offers tuition reimbursement, professional development opportunities, and a supportive environment for career advancement.
Locations
- Remote, West Virginia, United States (Remote)
Salary
38,500 - 60,500 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- Medical Billingintermediate
- Claim Submissionintermediate
- Denial Managementintermediate
- Third Party Payer Regulationsintermediate
- Customer Serviceintermediate
- Oral Communicationintermediate
- Written Communicationintermediate
- Reportingintermediate
- Clerical Dutiesintermediate
- Revenue Cycle Operationsintermediate
- HIPAA Complianceintermediate
- Data Entryintermediate
- Account Reconciliationintermediate
- Problem Solvingintermediate
- Time Managementintermediate
- Payer Portalsintermediate
- Payer Websitesintermediate
- Patient Accessintermediate
- Care Managementintermediate
- Insurance Verificationintermediate
- Electronic Health Records (EHR)intermediate
- Collectionsintermediate
- Customer Supportintermediate
- Data Analysisintermediate
Required Qualifications
- High School diploma or equivalent required. (experience)
- One (1) year of medical billing or medical office experience preferred. (experience)
- Knowledge of medical terminology. (experience)
- Familiarity with ICD-10 and CPT coding. (experience)
- Understanding of HIPAA regulations and patient privacy practices. (experience)
- Proficiency in using computer software and billing systems. (experience)
- Strong attention to detail and accuracy. (experience)
- Excellent organizational and time management skills. (experience)
- Ability to work independently and as part of a team. (experience)
- Strong problem-solving and analytical skills. (experience)
- Effective communication skills, both written and verbal. (experience)
- Ability to maintain confidentiality of patient information. (experience)
- Commitment to providing excellent customer service. (experience)
- Understanding of third-party payer requirements and processes. (experience)
Responsibilities
- Submits accurate and timely claims to third-party payers.
- Resolves claim edits and account errors prior to claim submission to ensure clean claims.
- Adheres to appropriate procedures and timelines for follow-up with third-party payers to ensure collections and exceed department goals.
- Gathers statistics, completes reports, and performs other duties as scheduled or requested by supervisors.
- Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability, and efficiency.
- Complies with Notices of Privacy Practices and follows all HIPAA regulations pertaining to PHI and claim submission/follow-up to maintain patient confidentiality.
- Contacts third-party payers to resolve unpaid claims and escalate issues as necessary.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up, maximizing efficiency.
- Assists Patient Access and Care Management with denials investigation and resolution, contributing to revenue cycle improvement.
- Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
- Attends department meetings, teleconferences, and webcasts as necessary to stay informed and collaborate with team members.
- Researches and processes mail returns and claims rejected by the payer, addressing root causes to prevent recurrence.
- Reconciles billing account transactions to ensure accurate account information according to established procedures.
- Processes billing and follow-up transactions in an accurate and timely manner to minimize revenue leakage.
- Develops and maintains working knowledge of all federal, state, and local regulations pertaining to professional billing to ensure compliance.
- Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts and improve financial performance.
- Maintains work queue volumes and productivity within established guidelines to meet performance expectations.
- Provides excellent customer service to patients, visitors, and employees, addressing inquiries and resolving issues promptly.
- Participates in performance improvement initiatives as requested, contributing to the ongoing improvement of revenue cycle processes.
- Works with supervisor and manager to develop and exceed annual goals, aligning individual performance with organizational objectives.
- Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers, and the public regarding demographic/clinical/financial information.
- Communicates problems hindering workflow to management in a timely manner, facilitating prompt resolution and minimizing disruptions.
Benefits
- general: Comprehensive health insurance plans, including medical, dental, and vision coverage.
- general: Generous paid time off (PTO) and vacation policy to promote work-life balance.
- general: Retirement savings plans with employer matching contributions to help secure your financial future.
- general: Life insurance and disability coverage to protect you and your family in case of unexpected events.
- general: Flexible spending accounts (FSAs) for healthcare and dependent care expenses to save on taxes.
- general: Employee assistance programs (EAPs) offering confidential counseling and support services.
- general: Wellness programs promoting healthy lifestyles and preventive care.
- general: Tuition reimbursement and professional development opportunities to support career growth.
- general: Employee discounts on various products and services.
- general: On-site childcare facilities or childcare assistance programs to help working parents.
- general: Commuter benefits and transportation assistance to reduce commuting costs.
- general: Recognition programs and awards to celebrate employee achievements.
- general: Opportunities for advancement and career progression within WVU Medicine.
- general: A supportive and collaborative work environment.
- general: Access to state-of-the-art technology and resources to enhance your performance.
Tags & Categories
Answer 10 quick questions to check your fit for Insurance Claims Specialist Careers at WVU Medicine - Remote | Apply Now! @ WVU Medicine.
Related Books and Jobs