Jobs at WVU Medicine

Perform full diagnostic ultrasound imaging and patient care supporting the Radiology Department, while maintaining professional standards and quality images.

Coordinate departmental budget formulation, variance analysis, and management reporting. Administer budget/reporting systems, design and maintain database structures, produce financial and statistical reports, support annual budgeting and decision-making, train staff, and collaborate with IT, Accounting, and Patient Financial Services.

Manage patient account balances through accurate claim submission, payer follow-up, denial management, and account reconciliation. Use payer portals and phone/email to resolve unpaid or rejected claims, maintain productivity metrics, comply with HIPAA, and support revenue cycle reporting and improvement initiatives.

The Associate Systems Analyst supports software system design, implementation, and maintenance while assisting in troubleshooting, training, and project coordination to enhance operational efficiency in healthcare settings.

Manage patient account balances by submitting accurate claims, resolving edits and denials, following up with third-party payers via payer portals, reconciling billing transactions, ensuring HIPAA compliance, preparing reports, and providing excellent customer service to maximize collections and revenue cycle performance.

Designs and delivers training across clinical revenue cycle functions (CDI, coding, denials, UR). Develops curricula, tip sheets, and audits; provides case-based support, monitors denial trends, and partners with leaders to improve documentation, compliance, and financial performance using Epic and revenue cycle analytics.

Manage denied claims and accounts receivable by investigating denials, communicating with payers and clinics, composing non-clinical appeals, posting adjustments, maintaining compliance with billing regulations, and supporting revenue cycle workflow and reporting.

Manage patient account balances by submitting accurate claims, following federal/state and payer regulations, resolving denials and claim edits, using payer portals, performing account follow-up and reconciliation, supporting denial investigations, maintaining HIPAA compliance, and providing excellent patient/customer service to optimize revenue cycle performance.

Obtain prior authorizations for elective procedures, verify insurance eligibility and benefits, code cases, review clinical documentation, follow up on authorizations and denials, assist denial management and retro-authorizations, and communicate with providers, schedulers, and financial clearance teams to minimize delays and revenue loss.

Manage patient account balances through accurate claim submission, payer follow-up, denial management, and reconciliation. Use payer portals and billing systems to resolve unpaid or rejected claims, maintain productivity targets, produce reports, comply with HIPAA, and provide customer service while supporting revenue cycle operations.

Manage patient account balances by submitting accurate claims, resolving edits and denials, following up with third-party payers, reconciling billing transactions, using payer portals, maintaining HIPAA compliance, producing reports, and providing excellent customer service to maximize collections.

Provide clinical information to third-party payors and manage utilization review tasks to secure authorizations, process denials, document authorizations/covered days, maintain insurer forms, support clinical teams, perform reception and administrative duties, and rotate weekends/holidays as assigned.

Manage patient account balances and timely, accurate claim submission; follow up with third-party payers, investigate and resolve denials, use payer portals, maintain HIPAA compliance, prepare reports, reconcile accounts, and provide customer service to support revenue cycle operations.

The Insurance Claims Specialist manages patient account balances, submits claims, resolves errors, and provides customer service regarding claims and billing.

Manage patient account balances by submitting accurate claims, following federal/state and third-party billing rules, resolving denials and claim edits, verifying claim status via payer portals, reconciling transactions, and providing customer service while maintaining HIPAA compliance and departmental productivity goals.

Lead a team supporting Epic analytics and clinical/operational systems. Oversee daily operations, project coordination, testing, reporting, data governance, staffing, training, and vendor interactions. Design scalable data models and pipelines (Microsoft Fabric, SQL Server, Power BI), ensure data quality, and present findings to executive stakeholders while maintaining system availability and compliance.

Design, implement, and optimize enterprise data architecture and management for healthcare analytics. Lead data solutions using Microsoft Fabric and Power BI, ensure data governance, integrate imaging and EMR systems, troubleshoot ETL/SSIS, manage projects, mentor staff, and ensure HIPAA-compliant data practices.