Revenue Cycle Claims Specialist

WVU Medicine; United States; Remote; USD 22,000 - 30,000; Part time

Job summary

SYSTEM West Virginia University Health System is seeking a part-time Medical Billing Specialist to manage patient account balances and ensure compliant, timely claim submission and follow-up. The role supports revenue cycle operations and requires strong customer service and communication skills in a healthcare environment.

The position emphasizes HIPAA compliance, accurate processing, and collaboration with Patient Access and Care Management to resolve denials and optimize cash flow.

Qualifications

• High School diploma or equivalent.
• 1 year medical billing/medical office experience preferred.
• Knowledge of ICD-10 and CPT coding preferred.

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.
• Gathers statistics, completes reports and performs other duties as scheduled.
• Organizes and executes daily tasks to achieve productivity and efficiency.
• Maintains confidentiality per HIPAA regulations.
• Contacts third party payers to resolve unpaid claims.
• Assists with denials investigation and resolution.

Skills

Customer service

Communication skills

Teamwork

Attention to detail

Time management

Education

High School diploma or equivalent

Tools

Payer portals

HIPAA compliance

Job description

SYSTEM West Virginia University Health System is seeking a part-time Medical Billing Specialist to manage patient account balances and ensure compliant, timely claim submission and follow-up. The role supports revenue cycle operations and requires strong customer service and communication skills in a healthcare environment.

The position emphasizes HIPAA compliance, accurate processing, and collaboration with Patient Access and Care Management to resolve denials and optimize cash flow.