Reference #: JR24-53452 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. Below, you'll find other important information about this position.

Responsible for the process of patient account review, correction, adjustment, and filing to third party payers and/or patients. Works directly with patients and third party payers as it relates to information distribution.

MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school diploma or equivalent. 2. West Virginia state criminal background check required, and Federal, if applicable, for DHHR BMS regulated area.

PREFERRED QUALIFICATIONS: EXPERIENCE: 1. Previous hospital billing and/or credit and collection experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Performs claims processing to third party payer according to payer guidelines.
2. Reviews and corrects billing edits prior to submitting claims.
3. Reviews edits to ensure proper billing and verifies edits with the appropriate Department leaders, if needed.
4. Works denials thoroughly and timely with little back-log.
5. 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.
6. Communicates problems hindering workflow to management in a timely manner.
7. Posts copays collected at Medical Offices to vouchers.Maintains unassigned payments.
8. Processes collections accounts.
9. Processes patient and insurance refund documentation.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Prolonged periods of sitting.
2. Manual dexterity required to operate standard office equipment.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.
2. Basic knowledge of medical terminology.
3. General knowledge of accounts receivable and collections procedures.

Additional Job Description: Office environment within Uniontown Hospital Orthopedic Clinic.

Scheduled Weekly Hours:40

Shift: Day (United States of America)

Exempt/Non-Exempt:United States of America (Non-Exempt)

Company:UNTWN Uniontown Hospital

Cost Center:68 UNTWN Orthopaedics

Address:500 W Berkeley Street

Uniontown

Pennsylvania

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay r the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)