Teams 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.

Manage a team delivering financial and compliance analyses for outpatient/provider-based clinics across WVU Medicine. Train staff, maintain CMS provider-based compliance (42 CFR 413.65), evaluate new clinic setups, produce reimbursement and ad-hoc financial reports, monitor Epic billing designations, and lead cross-functional initiatives to optimize reimbursement and regulatory adherence.

Manage patient account balances by submitting accurate claims, resolving edits and denials, following payer rules and timelines, using payer portals for status checks, reconciling transactions, maintaining productivity metrics, and providing excellent customer service while complying with HIPAA and billing regulations.