Revenue Cycle Support Specialist

WVU Medicine; Clarksburg (WV); On-site; USD 40,000 - 52,000; Full time

Job summary

West Virginia University Health System is seeking a Revenue Cycle Support Specialist to manage and respond to all incoming and outgoing communications related to the revenue cycle. The role ensures accurate, timely, and compliant resolution of billing and claim issues.

The position focuses on correspondence handling, denial management support, and coordination with billing, coding, and patient financial services teams to meet payer requirements and protect patient privacy.

Qualifications

• High school diploma or equivalent required.
• Correspondence processing experience.
• Knowledge of healthcare billing and payer guidelines is a plus.

Responsibilities

• Receive, review, and process incoming billing-related correspondence.

Skills

Correspondence processing

Strong written communication

Microsoft Office

HIPAA knowledge

Multitasking

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Office

Electronic document management systems

Job description

The Revenue Cycle Support Specialist provides a wide range of tasks to support the daily operation. This role is responsible for managing, processing, and responding to all incoming and outgoing written communications related to the revenue cycle. This includes handling insurance correspondence, patient billing inquiries, claim follow-ups, denial management letters, and internal communications to ensure accurate, timely, and compliant resolution of revenue cycle issues.

MINIMUM QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• High school diploma or equivalent required.

EXPERIENCE

• Correspondence processing.

PREFERRED QUALIFICATIONS

• Knowledge of healthcare billing, insurance processes, and payer guidelines.
• Experience with insurance denials, appeals, and claim resolution processes.

CORE DUTIES AND 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 escalation 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.

PHYSICAL REQUIREMENTS

• Must be able to sit for extended periods of time.
• Must have reading and comprehension ability.
• Visual acuity must be within normal range.
• Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment.
• Must be able to lift 50 pounds within handling package storage.
• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.

WORKING ENVIRONMENT

• Office type environment.
• Home office.

SKILLS AND ABILITIES

• Strong written communication skills with excellent grammar, spelling, and attention to detail.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.
• Proficient in Microsoft Office Suite, especially Word and Outlook.
• Strong organizational and record-keeping skills.
• Understanding of HIPAA and patient privacy laws.

Additional Job Description

Clarksville, WV

Scheduled Weekly Hours

40

Exempt/Non-Exempt

Shift

United States of America (Non-Exempt)

Company

SYSTEM West Virginia University Health System

Cost Center

663 SYSTEM Cash Management

Address

2673 Davisson Run Road
Clarksburg
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.