Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position.
Minimum Qualifications
EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:
- Bachelor’s degree in business administration, Healthcare Administration or related field
- OR Associate’s degree AND two (2) years of experience directly related to the duties and responsibilities specified
- OR High school diploma or equivalent AND (4) years of experience directly related to the duties and responsibilities specified.
Preferred Qualifications
EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:
- Bachelor’s degree in business administration, Healthcare Administration or related field
Experience
- One (1) year of administrative or clinical support experience in Genetics.
CORE DUTIES AND RESPONSIBILITIES:
- Assist in the management of patient records, clinical documentation, and genetic test orders, ensuring accurate processing, tracking, and coordination across ordering, specimen collection, and results reporting.
- Facilitate communication between patients, healthcare providers, laboratory partners, and internal teams to ensure timely and accurate coordination of genetic services.
- Manage and track all routine genetic test orders, ensuring timely follow-up and completion with internal and external parties.
- Contact insurance companies to determine eligibility, benefits, and authorization requirements for requested genetic testing.
- Maintain current knowledge of major insurance policies, practices, and requirements related to genetic testing and associated procedures.
- Perform follow-up on authorization and denial management issues through written communication, phone calls, and coordination of peer-to-peer reviews between physicians.
- Route patient inquiries to the appropriate departments, providers, or external partners and assist with facilitating timely communication and follow-up.
- Document referrals, authorizations, and certification numbers in the EPIC system.
- Initiate charge anticipation calculations and accurately identify anticipated patient self-pay responsibilities.
- Facilitate coordination with the clinical team to ensure all required documentation, authorizations, consents, and supporting materials needed for genetic testing are obtained and completed in a timely manner.
- Communicate anticipated co-payments, deductibles, co-insurance, and account balances to patients, and refer patients with limited or exhausted benefits to Financial Counselors as appropriate.
- Provide administrative and clerical assistance to the genetics team, including scheduling and organizing patient appointments.
- Assist patients in coordinating appointments and genetic services needed related to testing or other needs.
- Other department specific duties may be assigned.
PHYSICAL REQUIREMENTS:
- Ability to sit for long periods of time.
- Ability to lift, push or pull 10-15 pound.
WORKING ENVIRONMENT:
- Standard office environment.
Skills & Abilities
- Excellent oral and written communication skills.
- Excellent customer service and telephone etiquette.
- Must have reading and comprehension ability.
Scheduled Weekly Hours:
40
Shift:
United States of America (Non-Exempt)
Company
WVUH West Virginia University Hospitals
Cost Center
8239 UHA CH Pediatrics Specialties
Address
1 Medical Center Drive
Morgantown
West Virginia
Equal Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.