This position is responsible for the design, development, and delivery of training programs for revenue cycle operations and patient access systems. It also involves monitoring quality, conducting proficiency assessments, and collaborating with IT on system upgrades.
The supervisor oversees daily call center operations for Medicare Member Services, ensuring high-quality service and compliance with CMS and organizational standards. They are responsible for coaching staff, monitoring performance metrics, and resolving escalated member concerns to support Medicare Advantage and D-SNP product administration.
The Utilization Review Nurse collaborates with the Medical Director to manage care variance, facilitate timely discharges, and implement care management review processes. They also educate stakeholders and work with the medical management team to improve member healthcare outcomes through coaching and case management.
The Utilization Management RN collaborates with the Medical Director to reduce care variance and ensure timely discharges. They also implement care management review processes and identify members who would benefit from coaching or case management interventions.
The Centralized Scheduler is responsible for managing the scheduling, registration, and cancellation of outpatient visits across multiple ambulatory clinics. They must ensure patient records are accurate, verify insurance information, and coordinate with referring physicians to obtain necessary orders.
This role is responsible for obtaining prior authorizations for elective procedures and services to ensure financial clearance and accurate reimbursement. The specialist will manage work queues, coordinate with insurance payors, and assist in denial management to minimize organizational write-offs.
The specialist is responsible for accurately assigning ICD-10, CPT, and modifier codes based on medical record documentation to ensure compliance and proper reimbursement. They also perform audits, provide provider education, and resolve billing issues to maintain high standards of coding accuracy.
The specialist is responsible for accurately assigning ICD-10 and CPT codes to medical records to ensure compliance and appropriate reimbursement. They also perform audits on provider documentation and collaborate with clinical staff to resolve billing issues.
The Director of RCM PMO provides strategic leadership for the Enterprise Revenue Cycle project portfolio, ensuring initiatives align with organizational, financial, and operational priorities. They oversee portfolio governance, resource planning, and the delivery of complex technology and transformation initiatives while coaching PMO staff.
Provide psychosocial assessments, counseling, crisis intervention, and evidence-based treatment to patients and families while collaborating with interdisciplinary care teams. Coordinate discharge planning, referrals, family education, and connections to community resources, and maintain accurate clinical documentation.
Provide psychosocial assessments, counseling, evidence-based interventions, and patient and family education in coordination with primary care practices and interdisciplinary teams. Connect patients with community resources, support care and discharge planning, facilitate referrals, and maintain accurate clinical documentation.
The Pharmacy Analyst supports departmental operational efficiency by coordinating fiscal management, performing data analysis, and maintaining pharmacy statistics. Key duties include managing 340B program compliance, overseeing contract pharmacy relationships, and generating financial reports for budget and audit purposes.
The supervisor is responsible for the day-to-day operations of the IT staff, including professional development, performance management, and project coordination. They lead the design, development, and maintenance of systems while ensuring patient safety and data integrity.
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 position is responsible for accurately coding inpatient and outpatient medical records using ICD-10 and CPT guidelines to ensure proper reimbursement and compliance. It also involves resolving billing issues, performing split claim processes for critical access hospitals, and educating providers on documentation accuracy.
Interns will assist Enterprise IT teams with software engineering, cybersecurity, and health information management tasks. Responsibilities include providing user support, performing hardware and software setup, and conducting software testing and debugging.
This role supports the design, implementation, and maintenance of software systems, including MyChart and digital experience initiatives. Responsibilities include troubleshooting IT issues, providing end-user training, and coordinating projects to ensure system functionality and operational efficiency.
The representative is responsible for resolving patient billing concerns and implementing collection policies. They also conduct interviews and counseling sessions with patients regarding payment arrangements and charity assistance.
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 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 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 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.
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 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.
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 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 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 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 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.
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 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 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 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 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 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.
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.
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.
