Hospital Denials & Appeals Specialist

WVU Medicine; Core (WV); On-site; USD 35,000 - 50,000; Full time

Job summary

WVU Medicine is looking for a detail-oriented individual to manage accounts receivable related to denied claims. You will investigate denials, follow up with insurers, and ensure compliance with billing regulations.

Applicants should have a high school diploma, and one year of experience in medical billing is preferred. Knowledge of EPIC billing and proficiency in Microsoft Office is essential. This role offers a standard schedule of 40 hours per week in a business environment.

Qualifications

• One year of training in medical billing, coding, insurance processing, or related experience.
• Experience with hospital billing is preferred.

Responsibilities

• Manage accounts receivable for denied claims.
• Follow up with insurance companies about claim denials.
• Compose non-clinical appeals and manage submissions.
• Ensure compliance with federal and state regulations.

Skills

Excellent customer service

Oral and written communication skills

Basic computer knowledge

Knowledge of medical terminology

Excellent telephone skills

Education

High School diploma or equivalent

Associate degree in related field

Tools

EPIC medical billing

Microsoft Excel

Microsoft Word

Job description

WVU Medicine is looking for a detail-oriented individual to manage accounts receivable related to denied claims. You will investigate denials, follow up with insurers, and ensure compliance with billing regulations.

Applicants should have a high school diploma, and one year of experience in medical billing is preferred. Knowledge of EPIC billing and proficiency in Microsoft Office is essential. This role offers a standard schedule of 40 hours per week in a business environment.