Member Services Representative - Core

The Patient Navigator is a member of a multi-disciplinary team and will assume responsibility and accountability for the management of patients through the healthcare system. · Establishes close relationships with and serves as primary point of contact for patients. · Maintain a ...

We're excited you're considering an opportunity with us. Responsible for the build and maintenance of the cost allocation system that provides financial information for profit and loss reporting and analytics. · Serve as the lead on cost allocation methodologies. · Ensure integri ...

The Patient Navigator is a member of a multi-disciplinary team and will assume responsibility and accountability for the management of patients through the healthcare system. · The statements described here are intended to describe the general nature of work being performed by pe ...

Responsible for managing patient account balances including accurate claim submission compliance with federal/state and third party billing regulations timely follow-up and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. · ...

The Supervisor of Authorization Services will oversee the authorization department. Provide leadership and guidance to processes that will ensure the department is efficiently meeting the needs of the departments we support. · ...

This position will report to the Claims Manager playing a unique and important role in our mission to change healthcare for the better. The claims team will review and oversee the adjudication of claims ranging from simple data entry to complex specialty claim research. · Experie ...

+Job summary · Resolves credit balances identified through Epic work queues and gathers statistics to maximize cash receipts. · +ResponsibilitiesResearches refund requests and recommendations as appropriate. · Reviews entire guarantor record to identify accounts across all facili ...

The Disease Management Coordinator collaborates with patients and primary care providers to ensure patients receive quality efficient and cost-effective healthcare services. · Ambulatory Utilization Management Financial Management and Quality Screening for assigned patients. · ...

+ Job summary · The Disease Management Coordinator collaborates with patients and primary care providers to ensure patients receive quality healthcare services. · + ResponsibilitiesAmbulatory Utilization Management · , Financial Management and Quality Screening for assigned patie ...

The Disease Management Coordinator collaborates with patients and primary care providers to ensure patients receive quality, efficient, and cost-effective healthcare services. Coordinates, monitors, and evaluates all options and services to optimize a patient's health status. · ...

Performs administrative and clerical duties to manage patient registration and financial obligations. · ...

The Patient Navigator is a member of a multi-disciplinary team and will assume responsibility and accountability for the management of patients through the healthcare system. · Establishes close relationships with and serves as primary point of contact for patients. · Strategizes ...

The credit balance specialist is responsible for resolving credit balances and refunds. · ...

The insurance claims specialist will be responsible for managing patient account balances including accurate claim submission and compliance with all federal/state and third-party billing regulations. · ...

+Job summary · In this role, you will manage patient account balances including accurate claim submission, compliance with all federal/state and third party billing regulations, · +ResponsibilitiesSubmits accurate and timely claims to third party payers. · Resolves claim edits an ...

The Insurance Claims Specialist is responsible for managing patient account balances including accurate claim submission, compliance with federal/state and third party billing regulations, · timely follow-up, and assistance with denial management to ensure the financial viability ...

+Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. · +Current Registered Nurse license issued by the state in which services will be ...

Welcome We're excited you're considering an opportunity with us Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative new health plan. · ...

+This position is responsible for working with the Medical Director to reduce care variance and ensure timely discharges.+Assists with building and implementing care management review processes. · Educates internal and external stakeholders to improve processes. · ...

This leadership position is responsible for overseeing a team of ambulatory nurse case managers who collaborate closely with primary care physicians, PeakHealth, and a multidisciplinary care team to support patients in achieving their health goals. · The Population Health Manager ...