Insurance Claims Specialist
Core
Manage patient account balances, submit accurate claims, and resolve denials to ensure financial viability for WVU Medicine hospitals.
Role type
Medical billing specialist
Builds
Revenue cycle operations for hospital patient accounts
Domain
Healthcare / Medical Billing
Required skills
Claims submission, denial management, HIPAA compliance, payer portal navigation, account reconciliation, regulatory knowledge (federal/state), report generation
Preferred skills
Medical terminology, ICD-10 and CPT coding, business math
Technologies
Payer portals, fax machines, telephones, keyboards
Responsibilities
Submit accurate and timely claims to third party payers; Resolve claim edits and account errors; Follow up with payers to ensure collections; Contact payers to resolve unpaid claims; Reconcile billing account transactions; Process mail returns and rejected claims; Maintain confidentiality of PHI
Seniority
Individual Contributor, entry to mid-level
