Revenue Cycle Specialist: Denials & Appeals

WVU Medicine; Morgantown (WV); On-site; USD 38,000 - 52,000; Full time

Job summary

West Virginia University Health System is seeking a Revenue Cycle Support Specialist in Morgantown to manage and respond to all billing correspondence, insurance inquiries, and denial-related communications. You will coordinate with billing, coding, and patient financial services to ensure timely, compliant resolution of revenue cycle issues.

The role requires strong written communication, attention to detail, and proficiency with Microsoft Office.

Qualifications

• High school diploma or equivalent required.
• Experience in correspondence processing.
• Knowledge of healthcare billing, insurance processes, and payer guidelines.
• Experience with insurance denials, appeals, and claim resolution.

Responsibilities

• Receive, review, and process all incoming correspondence related to billing, insurance claims, denials, appeals, and patient inquiries.
• Process outgoing mails including but not limited to claims, itemized bills and medical records as required.
• Draft, edit, and send responses to insurance companies, patients, and internal departments following established guidelines and policies.
• Maintain accurate records of all correspondence in electronic document management systems or revenue cycle software.
• Track, monitor, and escalate unresolved correspondence issues to appropriate revenue cycle teams for resolution.
• Collaborate with billing, coding, collections, and patient financial services teams to gather necessary information for correspondence responses.
• Ensure all correspondence complies with HIPAA regulations and organizational confidentiality standards.
• Support denial management by generating appeal letters and coordinating necessary documentation.
• Assist in audit preparation by organizing correspondence records and documentation.
• Maintain templates and update correspondence formats as needed to reflect current policies and payer requirements.
• Provide regular reports on correspondence volume, status, and resolution metrics.
• Other Revenue Cycle supporting tasks and duties as assigned.

Skills

Strong written communication

Multitask management

Microsoft Office Suite

Organization & record-keeping

HIPAA compliance

Education

High school diploma

Job description

West Virginia University Health System is seeking a Revenue Cycle Support Specialist in Morgantown to manage and respond to all billing correspondence, insurance inquiries, and denial-related communications. You will coordinate with billing, coding, and patient financial services to ensure timely, compliant resolution of revenue cycle issues.

The role requires strong written communication, attention to detail, and proficiency with Microsoft Office.