Jobs at WVU Medicine

Manage patient account balances through accurate claim submission, payer follow-up, denial management, and account reconciliation. Use payer portals and phone/email to resolve unpaid or rejected claims, maintain productivity metrics, comply with HIPAA, and support revenue cycle reporting and improvement initiatives.

Obtains prior authorizations and verifies insurance eligibility for elective procedures, tests, referrals, and surgeries. Reviews clinical documentation, medical policies, ICD-10 and CPT coding, and payer requirements. Follows up on authorization requests, denials, appeals, peer-to-peer reviews, and retro-authorizations. Communicates authorization status and financial clearance risks to providers, schedulers, and financial services while maintaining Epic work queues, productivity standards, confidentiality, and timely service clearance.

Manages hospital patient account balances through accurate claim submission, payer follow-up, denial resolution, billing reconciliation, and compliance with federal, state, HIPAA, and third-party billing requirements. Uses payer portals to verify claim status, researches rejected claims, maintains account records, prepares reports, and supports revenue cycle goals. Provides customer service to patients and staff while maintaining confidentiality and productivity standards.

Manages hospital patient account balances through accurate insurance claim submission, payer follow-up, denial resolution, billing reconciliation, and payment collection. The role uses payer portals, ensures compliance with federal, state, HIPAA, and third-party billing regulations, researches rejected claims, maintains work queues, completes reports, and provides customer support. It also supports revenue cycle performance, productivity goals, account accuracy, and confidentiality requirements.

Supports pharmacy fiscal operations and 340B program management through financial reconciliation, billing validation, budget variance analysis, contract pharmacy forecasting, purchasing review, compliance monitoring, cost-savings analysis, and departmental reporting. Maintains financial records, supports audits and budgets, identifies irregularities, coordinates system-wide 340B activities, and collaborates with pharmacy leadership, managers, buyers, wholesalers, and hospital departments.

Manages hospital patient account balances through accurate claim submission, payer follow-up, denial resolution, billing reconciliation, and payment monitoring. Uses payer portals to verify claim status, resolves billing errors and rejected claims, maintains compliance with HIPAA and applicable regulations, and supports revenue cycle reporting and productivity goals. Provides customer service to patients and staff while maintaining confidentiality and accurate financial and demographic information.

Manages hospital patient account balances through accurate claim submission, payer follow-up, denial resolution, billing reconciliation, and payment tracking. Ensures compliance with federal, state, payer, HIPAA, and hospital billing requirements. Uses payer portals to investigate claim status, resolves edits and rejected claims, completes reports, maintains productivity, and provides customer service to patients and internal stakeholders.

Supports MyChart, EpicCare Link, Care Everywhere, and digital health initiatives through system maintenance, testing, troubleshooting, user support, training, reporting, and basic project coordination. Collaborates with clinical, operational, and IT teams to gather requirements, implement enhancements, improve digital experiences, and track initiative effectiveness. The role also assists with security management, data transfers, documentation, risk and issue management, and continuous process improvement.

Manages patient account balances through accurate claim submission, payer follow-up, billing reconciliation, denial resolution, and compliance with billing regulations and HIPAA. Uses payer portals to verify claim status, resolves rejected or unpaid claims, maintains work queues, prepares reports, and supports revenue cycle goals. Provides customer service to patients and employees while maintaining confidentiality and accurate financial and clinical information.

Manages hospital patient account balances through accurate claim submission, payer follow-up, denial resolution, billing reconciliation, and compliance with healthcare billing regulations. Uses payer portals to verify claim status, resolves account errors and rejected claims, processes transactions, maintains reports and work queues, and supports revenue cycle operations. Provides customer service while protecting patient information under HIPAA requirements.

Supports healthcare information systems through requirements analysis, implementation, upgrades, troubleshooting, testing, security management, reporting, and optimization. Coordinates technology projects, manages stakeholders and risks, documents progress, and provides end-user training and ongoing support. The role requires collaboration with clinical and business teams, knowledge of healthcare workflows and interoperability standards, and continuous improvement of system performance and operational efficiency.

Performs complex healthcare net revenue and reimbursement analysis for hospitals and payers. Responsibilities include month-end close, contractual reserve analysis, budget modeling, journal entries, account reconciliation, variance analysis, and audit-ready controls. Serves as a subject matter expert for reimbursement methodologies and Revenue Cycle Analytics, supports Epic data reconciliation, troubleshoots system issues, trains analysts, and contributes to process improvements and cross-functional projects.

Performs accounting and financial analysis for hospital departments, including general ledger maintenance, reconciliations, billing, accounts receivable, budgeting, variance analysis, financial reporting, internal controls, and audit support. Oversees accounting staff, delegates work, trains personnel, coordinates month-end processes, develops financial reports, and supports quality improvement initiatives.

Manages patient account balances through accurate claim submission, payer follow-up, denial resolution, billing reconciliation, and compliance with federal, state, HIPAA, and third-party billing regulations. Uses payer portals to verify claim status, resolves rejected or unpaid claims, monitors accounts, and supports revenue cycle goals. Provides customer service, completes reports, maintains confidentiality, and performs related clerical and billing tasks in an office environment.

Manages hospital patient account balances through accurate claims submission, payer follow-up, denial resolution, account reconciliation, and billing transaction processing. Ensures compliance with federal, state, payer, and HIPAA requirements while monitoring accounts to maximize timely collections. Uses payer portals to verify claim status, researches rejected claims, completes reports, maintains productivity, and provides customer service to patients and internal stakeholders.

Designs, implements, and optimizes Workday architecture and enterprise solutions. Provides strategic consultation, specifies complex system designs, oversees integration and change management, mentors teams, leads impact analysis, and supports implementations including travel and on-call responsibilities.

Designs and delivers training across clinical revenue cycle functions (CDI, coding, denials, UR). Develops curricula, tip sheets, and audits; provides case-based support, monitors denial trends, and partners with leaders to improve documentation, compliance, and financial performance using Epic and revenue cycle analytics.

The Insurance Claims Specialist manages patient account balances, submits claims, resolves errors, and provides customer service regarding claims and billing.

The Pharmacy Analyst supports pharmacy operations; coordinates fiscal management, data analysis, and maintains statistics and reports while ensuring compliance and accuracy in pharmacy billing and budgeting.