Medical Billing & Claims Specialist - Revenue Cycle

WVU Medicine; Core (WV); On-site; USD 36,000 - 48,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a detail-oriented Patient Financial Services professional to manage patient account balances and ensure accurate claim submission. The role emphasizes compliance with HIPAA, timely follow-up with payers, denial management, and supporting revenue cycle optimization across WVU Medicine hospitals.

Responsibilities include accurate data entry, report preparation, and collaboration with leadership to achieve best-in-class revenue cycle

Qualifications

• High School diploma or equivalent required.
• Preferred: 1 year medical billing/medical office experience.

Responsibilities

• Submits accurate and timely claims to third party payers.
• Resolves claim edits and account errors prior to claim submission.
• Adheres to procedures and timelines for follow-up with third party payers to ensure collections goals.
• Gathers statistics, completes reports and performs other duties as scheduled.
• Maintains confidentiality per privacy regulations and HIPAA requirements.
• Communicates issues hindering workflow to management promptly.
• Maintains working knowledge of federal, state and local regulations for professional billing.

Skills

Oral communication

Written communication

Customer service

Medical terminology

Revenue cycle knowledge

Education

High School diploma or equivalent

Job description

SYSTEM West Virginia University Health System is seeking a detail-oriented Patient Financial Services professional to manage patient account balances and ensure accurate claim submission. The role emphasizes compliance with HIPAA, timely follow-up with payers, denial management, and supporting revenue cycle optimization across WVU Medicine hospitals.

Responsibilities include accurate data entry, report preparation, and collaboration with leadership to achieve best-in-class revenue cycle