Insurance Claims Specialist

West Virginia United Health System is looking for a highly motivated and detail-oriented Insurance Claims Specialist to join our team. As an integral part of our Finance Department, the Insurance Claims Specialist will play a critical role in ensuring accurate and timely insurance claims processing. The successful candidate must have excellent problem-solving and organization skills, as well as the ability to work independently and collaboratively. The ideal candidate will have experience working in a healthcare setting and a strong understanding of insurance billing and claims processing procedures. If you are passionate about providing exceptional customer service and are driven to help improve the financial health of our organization, we want to hear from you!

Responsibilities:

1. Receive and process insurance claims in accordance with established procedures.
2. Ensure accuracy of billing information and verify eligibility of patients for insurance coverage.
3. Analyze and resolve complex insurance claims issues.
4. Maintain up-to-date knowledge of insurance billing and coding regulations and procedures.
5. Communicate with insurance providers regarding payment status and other inquiries.
6. Monitor and follow up on unpaid insurance claims.
7. Assist with audits and other insurance related functions.
8. Provide exceptional customer service to patients and their families.
9. Develop and implement strategies to improve insurance claims processing efficiency.
10. Maintain accurate records of insurance claims processing activities.

According to JobzMall, the average salary range for a Insurance Claims Specialist in Morgantown, WV, USA is $37,000 to $63,000. This range is based on a variety of factors including experience level, skill level, and qualifications.

The WVU Health System, WVU Medicine's largest component, is a not-for-profit corporation and West Virginia's largest employer. West Virginia United Health System helps residents in the Mountain State stay on top of their health. The system operates United Hospital Center (in Clarksburg), as well as hospitals in the West Virginia University Hospitals (WVUH) system, including City Hospital (Martinsburg), Jefferson Memorial Hospital (Ranson), and WVUH's home hospital in Morgantown. In addition, WVUHS operates WVUH's Cheat Lake physicians ambulatory center, as well as a network of about a dozen primary care clinics located throughout central and northern West Virginia. Combined, the system's hospitals and clinics have more than 1000 beds and treat approximately 1.4 million patients annually.