Insurance Claims Specialist jobs in United States
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WVU Medicine Camden Clark Medical Center · 1 day ago

Insurance Claims Specialist

WVU Medicine Camden Clark Medical Center is seeking an Insurance Claims Specialist. The role involves processing patient accounts, reviewing and correcting billing edits, and working with third party payers to resolve unpaid or underpaid accounts.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Performs claims processing to third party payer according to payer guidelines
Reviews and corrects billing edits prior to submitting claims
Reviews edits to ensure proper billing and verifies edits with the appropriate Department leaders, if needed
Works denials thoroughly and timely with little back-log
Performs follow up on account, working with third party payers, patient, employer, and physician office to resolve unpaid or underpaid accounts. Works follow-up reports thoroughly within the month
Communicates problems hindering workflow to management in a timely manner
Posts copays collected at Medical Offices to vouchers. Maintains unassigned payments
Processes collections accounts
Processes patient and insurance refund documentation

Qualification

Claims processingBilling edits reviewMedical terminologyAccounts receivable knowledgeCommunication skills

Required

High school diploma or equivalent
State criminal background check and Federal (if applicable), as required for regulated areas
Excellent oral and written communication skills
Basic knowledge of medical terminology
General knowledge of accounts receivable and collections procedures

Preferred

Previous hospital billing and/or credit and collection experience

Company

WVU Medicine Camden Clark Medical Center

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WVU Medicine Camden Clark Medical Center serves the Mid-Ohio Valley and surrounding region through a 302-bed, not-for-profit, acute care facility.

H1B Sponsorship

WVU Medicine Camden Clark Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (11)
2023 (9)
2022 (9)
2021 (7)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

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Carol Grove
Chief Nursing Officer
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Mary Jo Pedersen
Executive Partner
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Company data provided by crunchbase