Claims Specialist – Medical Billing & Denials

WVU Medicine; United States; Remote; USD 25,000 - 34,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking an experienced Medical Billing Specialist to manage patient account balances, submit claims, and follow-up with third party payers. The role emphasizes accuracy, regulatory compliance, and denial management to support the hospital revenue cycle.

Responsibilities include claim submission, payor follow-up, reporting, and collaboration with Patient Access and Care Management to resolve denials.

Qualifications

• High School diploma or equivalent required.
• Experience in medical billing preferred.

Responsibilities

• Submits accurate and timely claims to third party payers.
• Resolves claim edits and account errors before submission.
• Adheres to follow-up procedures to maximize collections.
• Completes reports and clerical duties as needed.
• Maintains HIPAA compliance in all tasks.

Skills

Communication skills

Computers

Medical terminology

ICD-10/CPT coding

Customer service

Tact and diplomacy

Revenue cycle knowledge

Written comprehension

Education

High School diploma or equivalent

Tools

Payer portals

Billing software

Job description

SYSTEM West Virginia University Health System is seeking an experienced Medical Billing Specialist to manage patient account balances, submit claims, and follow-up with third party payers. The role emphasizes accuracy, regulatory compliance, and denial management to support the hospital revenue cycle.

Responsibilities include claim submission, payor follow-up, reporting, and collaboration with Patient Access and Care Management to resolve denials.