The claims processor will analyze, review, and adjudicate medical insurance claims to determine validity and payment status. They are responsible for maintaining data accuracy, resolving claim edits, and communicating effectively with internal and external stakeholders.
The Centralized Scheduler is responsible for managing outpatient visit scheduling, cancellations, and registrations for multiple ambulatory clinics. They must verify patient information, coordinate with referring physicians, and ensure all medical orders are complete and documented.
Responsible for scheduling, cancelling, and registering outpatient visits for multiple ambulatory clinics. Ensures patient records are accurate and coordinates with referring physicians to obtain necessary electronic or written orders.
The Centralized Scheduler is responsible for managing outpatient visit scheduling, registration, and cancellations across multiple ambulatory clinics. They also handle patient check-in/check-out processes, collect payments, and coordinate follow-up appointments.
The Medicare Enrollment Specialist reviews, processes, and validates member enrollment applications to ensure accuracy and compliance with organizational policies. They also manage member records, resolve enrollment issues, and provide training to new hires while participating in system testing.
The Team Lead Insurance Authorization Specialist oversees daily operations for prior authorizations and collaborates with leadership to reduce denials and improve revenue. They also provide training, coaching, and mentorship to staff while serving as the primary point of contact for authorization inquiries.
The specialist is responsible for the strategic management of service line integration and performing high-level clinical documentation reviews. They also assist the CDI manager with data reporting, provider education, and mentoring junior staff.
The specialist is responsible for the strategic management of service line integration and performing high-level clinical documentation reviews. They also assist the CDI manager with data reporting, provider education, and mentoring junior staff to ensure accurate DRG assignment and regulatory compliance.
The console attendant is responsible for answering the hospital's main telephone line, routing calls to the appropriate departments, and managing paging services. They also assist with maintaining the on-call schedule and responding to emergency, fire, and security pages.
The HIM Coordinator manages the lifecycle of legal health records, ensuring data integrity, compliance, and efficient workflow processes. They also provide ongoing education to staff regarding documentation retention and conduct quality assurance audits for both electronic and paper records.
The BI Developer will design and implement analytical solutions to improve business processes and systems while serving as a primary point of contact for data-driven decision-making. They are responsible for managing project coordination, creating automated reports, and ensuring data accuracy across the organization.
The Centralized Scheduler is responsible for managing patient scheduling, pre-registration, and insurance verification to ensure efficient department operations. They also provide high-quality customer service to patients and referring offices while maintaining accurate medical records.
The Insurance Claims Specialist is responsible for managing patient account balances, including accurate claim submission and timely follow-up with third-party payers. They also assist with denial management and ensure compliance with all federal, state, and internal billing regulations to maintain financial viability.
The physician will provide remote teleneurology and telestroke services for a Comprehensive Stroke Center. Additionally, the role involves teaching medical students, residents, and fellows while engaging in clinical research.
The physician will provide teleneurology and telestroke services remotely as part of a comprehensive stroke center. Responsibilities include patient care, teaching medical students and residents, and participating in research initiatives.
The physician will provide teleneurology and telestroke coverage, including general and vascular neurology patient care during evening and weekend shifts. Additionally, the role involves teaching medical students, residents, and fellows, as well as participating in research initiatives.
The Community Outreach Representative builds and maintains relationships with community organizations and influencers to generate sales leads and increase awareness of Medicare programs. They are responsible for planning outreach events, delivering educational presentations, and collaborating with internal and external stakeholders to meet growth goals.
The Medicare Enrollment Specialist reviews, processes, and verifies member enrollment applications for accuracy and compliance with organizational policies. They also manage enrollment records, resolve issues to ensure a seamless member experience, and participate in system testing and department training initiatives.
The analyst will perform financial and compliance reporting to support outpatient services and organizational decision-making. They are responsible for interpreting CMS regulations, conducting gap assessments, and advising leadership on provider-based billing strategies.
Manage a team of analysts to provide financial decision support, business planning, and forecasting for hospital executive leadership. Oversee budgetary processes, statistical metric optimization, and the integration of new hospitals into financial systems.
The CDI Analyst provides expertise in clinical documentation process improvement, data integration, and analytic design to support leadership and clinical teams. They are responsible for ensuring data integrity, maintaining databases, and collaborating with IT to test and support clinical applications.
The CDI Educator is responsible for planning and implementing clinical documentation education programs for providers and clinical staff while conducting quality audits to ensure compliance. They serve as an expert resource for the CDI team, analyzing data to identify educational needs and managing documentation improvement initiatives.
The position is responsible for managing coding quality audits, developing education plans, and training coding staff. It also acts as an expert resource for revenue cycle operations, data governance, and regulatory compliance.
Supervises hospital or professional coding staff and manages day-to-day operations related to reimbursement, coding, and abstracting. Facilitates ongoing auditing, monitoring, and educational activities to ensure compliance with healthcare regulations.
The Managed Care Pharmacist is responsible for implementing pharmacy benefit management strategies, ensuring plan design execution, and collaborating with stakeholders to optimize clinical outcomes. They also oversee quality assurance activities, monitor clinical program performance, and ensure compliance with regulatory standards.
The pharmacy technician assists in drug distribution, medication preparation, and inventory management under the supervision of a pharmacist. They also communicate with patients regarding medication delivery and maintain accurate records for controlled substances.
The Operations Pharmacy Technician II assists in drug distribution, preparation, and inventory management under the supervision of a pharmacist. They also communicate with patients regarding medication delivery and assist in the training of junior pharmacy technicians.
The supervisor manages coding staff and oversees day-to-day operations, including reimbursement, abstracting, and quality monitoring. They also act as an expert resource for providers and ensure compliance with healthcare coding regulations and billing guidelines.
Responsible for scheduling, cancelling, and registering outpatient visits and procedures for multiple ambulatory clinics. Ensures patient records are accurate and coordinates with referring physicians to obtain necessary orders.
The role involves managing the requirements analysis, design, implementation, and maintenance of information systems to ensure operational efficiency. It also includes troubleshooting system issues, coordinating projects, and providing end-user training to support organizational goals.
The Senior Reimbursement Analyst performs complex net revenue analysis, reimbursement activities, and month-end close processes for assigned hospitals. The role serves as a subject matter expert, providing technical guidance and collaborating with stakeholders to ensure accurate financial reporting and budget preparation.
The Senior Accountant performs financial functions including departmental analysis, reconciliations, billing, and accounts receivable management. They also oversee accounting staff, coordinate budget processes, and ensure internal financial controls are maintained.
The Pharmacy Analyst supports operational efficiency by coordinating fiscal management, performing data analysis, and maintaining departmental statistics. They are responsible for managing 340B program compliance, tracking financial variances, and generating reports to optimize pharmacy purchasing and billing.
The Senior Accountant performs financial functions including departmental analysis, reconciliations, and billing to support the budget process. They also oversee accounting staff, maintain the general ledger, and coordinate month-end variance analysis.
Responsible for managing patient account balances, including accurate claim submission and compliance with billing regulations. Supports revenue cycle operations by performing follow-ups, resolving claim errors, and assisting with denial management.
The scheduler is responsible for managing outpatient visits, including scheduling, rescheduling, and registering patients for multiple ambulatory clinics. They must also verify patient information, coordinate with referring physicians, and ensure all necessary medical orders are documented.
The position is responsible for scheduling patient procedures, managing pre-registration, and verifying medical insurance information. It also involves maintaining effective working relationships with physician office staff and providing high-quality customer service.
The Patient Navigator manages patients through the healthcare system by serving as a primary point of contact and coordinating care, appointments, and resources. They also analyze market data to assist with payer population strategies and ensure insurance coverage for treatments.
The Nurse Navigator is responsible for clinically triaging patient referrals and facilitating multidisciplinary care across the continuum. They provide patient education, coordinate appointments, and serve as a primary liaison between patients and clinical providers.
The role involves developing and maintaining collaborative relationships with healthcare providers to ensure high-quality outcomes and patient satisfaction. The incumbent will educate providers on policies, procedures, and regulatory updates while managing network landscape data.
The role involves reviewing medical record documentation to accurately assign ICD-10 and CPT codes for outpatient encounters. The specialist ensures compliance with coding guidelines and collaborates with physicians to obtain necessary information for accurate billing.
The specialist is responsible for reviewing complex surgical documentation to assign accurate ICD-10, CPT, and HCPCS codes in compliance with national guidelines. They also collaborate with providers to resolve documentation insufficiencies and support revenue cycle operations to ensure accurate billing.
The Workday System Architect designs, implements, and optimizes architecture strategies to meet enterprise business needs. They provide strategic consultation, lead complex system designs, and oversee change management processes to ensure business solutions are effective and scalable.
The technician is responsible for securing patient data, performing insurance verification, and assisting pharmacists with prescription filling and labeling. They also conduct patient interviews to gather clinical and financial information while ensuring compliance with departmental policies.
The role involves reviewing medical record documentation to assign accurate ICD-10 and CPT codes for outpatient encounters. It also requires ensuring timely coding, charging, and abstraction of accounts to facilitate accurate billing and compliance.
The AI Literacy Specialist drives organizational understanding of AI by developing training programs, educational resources, and learning pathways. They facilitate workshops, provide end-user support, and ensure responsible AI adoption in alignment with governance and security requirements.
The Nurse Navigator is responsible for triaging patient referrals, assessing clinical needs, and facilitating care across the multidisciplinary continuum. They provide patient education, coordinate appointments, and serve as a primary communication link between patients and healthcare providers.
The specialist coordinates the implementation and deployment of Epic AI products across clinical and operational areas. They also partner with cross-functional teams to gather requirements, design workflows, and monitor the adoption and impact of AI solutions.
This position is responsible for obtaining prior authorizations for elective infusions and injections to ensure financial clearance and reimbursement. The specialist acts as a liaison between clinical teams and pharmacists while managing work queues and resolving authorization denials.
The specialist will provide high-quality maternal-fetal medicine care, including managing high-risk pregnancies and performing prenatal diagnostics. Additionally, the role involves teaching and mentoring medical students, residents, and fellows within an academic clinical environment.
The specialist will provide high-quality maternal-fetal medicine care, including managing high-risk pregnancies and performing prenatal diagnostics. Additionally, the role involves active participation in teaching and mentoring medical students, residents, and fellows within an academic setting.
The Lead Pharmacist is responsible for overseeing pharmacy operations and ensuring compliance with state board regulations. The role involves managing pharmacy staff and maintaining high standards of clinical service within the medical center.
The Coding Auditor-Educator is responsible for managing quality improvement audits, training coding staff, and ensuring accurate coding and DRG assignment. They act as an expert resource for clinical documentation, revenue cycle operations, and EMR data governance.
This position is responsible for developing, designing, and conducting training programs for revenue cycle operations and patient access systems. It also involves monitoring quality, administering proficiency tests, and collaborating with IT on system upgrades.
Lead the design and delivery of systemwide training programs for CDI, coding, utilization review, and denial management. Develop educational content and provide case-based support to providers to improve documentation accuracy and financial performance.
Collaborates with multidisciplinary teams to ensure quality pharmacy care, patient safety, and the development of programmatic improvements. Leads research projects in quality and safety while providing education to patients, providers, and students.
Collaborates with multidisciplinary teams to ensure quality pharmacy care, patient safety, and adherence to clinical guidelines. Leads research projects and provides education to patients, providers, and students within the health system.
Responsible for obtaining authorizations for elective procedures and services to ensure financial clearance for patients. This role involves reviewing clinical documentation, coordinating with insurance payors, and managing denials to minimize organizational write-offs.
Provide comprehensive medical nutrition therapy to a diverse patient population and document assessments and consults in medical records. Collaborate with medical teams to optimize patient care and supervise nutritional therapy support staff and interns.
The successful candidate will practice in the area of Radiology as a Tele-Radiologist. Responsibilities include providing diagnostic services to WVU Medicine community hospitals remotely.
The successful candidate will practice in the area of Diagnostic Radiology for the WVU Medicine Community Hospitals. This role is fully remote and offers additional earning opportunities.
The role involves leading the design, innovation, and implementation of solutions to improve systems and processes by advocating for customer needs and identifying productivity opportunities. Core duties include maintaining a deep understanding of database structures and BI tools to create analytical solutions, serving as the first point of contact for data analytics, and performing data analysis to ensure accuracy and drive strategic business decisions.
