📌 Core Information
🔹 Job Title: Insurance Claims Specialist (87952) - ACQUISITION
🔹 Company: WVU Medicine
🔹 Location: Remote (Home Work - Monongalia County WV (Local))
🔹 Job Type: Full-Time
🔹 Category: Healthcare
🔹 Date Posted: May 27, 2025
🔹 Experience Level: Entry-Level (0-2 years)
🔹 Remote Status: On-site (Remote for this position)
🚀 Job Overview
Key aspects of this role include:
- Managing patient account balances and accurate claim submission
- Compliance with federal, state, and third-party billing regulations
- Timely follow-up and denial management
- Excellent customer service and communication skills
ASSUMPTION: This role requires a strong attention to detail, excellent communication skills, and a solid understanding of medical billing and insurance processes.
📋 Key Responsibilities
✅ Manage patient account balances, including accurate claim submission, timely follow-up, and denial management
✅ Ensure compliance with all federal, state, and third-party billing regulations
✅ Provide excellent customer service and support to patients, visitors, and employees
✅ Complete reports and clerical duties as needed to support the work of the department
✅ Collaborate with leadership and team members to achieve best-in-class revenue cycle operations
ASSUMPTION: This role involves a high degree of multitasking, prioritization, and attention to detail to ensure accurate and timely claim processing and resolution of billing issues.
🎯 Required Qualifications
Education: High School diploma or equivalent
Experience: No specific experience required (entry-level position)
Required Skills:
- Excellent oral and written communication skills
- Working knowledge of computers
- Knowledge of medical terminology (preferred)
- Knowledge of business math (preferred)
- Knowledge of ICD-10 and CPT coding processes (preferred)
- Excellent customer service and telephone etiquette
- Ability to use tact and diplomacy in dealing with others
Preferred Skills:
- One (1) year of medical billing/medical office experience
ASSUMPTION: While not required, previous medical billing or office experience would be beneficial in this role.
💰 Compensation & Benefits
Salary Range: $30,000 - $35,000 per year (Estimated, based on industry standards for entry-level positions in healthcare)
Benefits:
- Health, dental, and vision insurance
- Retirement plans (401k and pension)
- Paid time off (vacation, sick, and holidays)
- Employee discounts and wellness programs
Working Hours: 40 hours per week, Monday - Friday (8:00 AM - 5:00 PM, with a 1-hour lunch break)
ASSUMPTION: The salary range provided is an estimate based on industry standards for entry-level positions in healthcare. The actual salary may vary based on factors such as experience, performance, and company policy.
📌 Applicant Insights
🔍 Company Context
Industry: Hospitals and Health Care
Company Size: 10,001+ employees (Large organization with extensive resources and opportunities for growth)
Founded: 1915 (WVU Medicine is a part of West Virginia University, which was founded in 1867)
Company Description:
- WVU Medicine is West Virginia’s largest health system and the state’s largest employer, with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues.
- The Health System is comprised of 25 hospitals, including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia.
- WVU Medicine offers a wide range of services, including neurosurgery, pediatrics, emergency medicine, cardiothoracic surgery, cancer services, sports medicine, internal medicine, orthopaedics, and heart and vascular care.
Company Specialties:
- Neurosurgery
- Pediatrics
- Emergency Medicine
- Cardiothoracic Surgery
- Cancer Services
- Sports Medicine
- Internal Medicine
- Orthopaedics
- Heart and Vascular Care
Company Website: WVUMedicine.org
ASSUMPTION: WVU Medicine is a large, well-established healthcare system with a strong reputation in the region. This role offers opportunities for growth and development within a large organization.
📊 Role Analysis
Career Level: Entry-Level (This role is an excellent starting point for a career in medical billing or healthcare administration)
Reporting Structure: This role reports directly to the Manager of Patient Financial Services
Work Arrangement: On-site (Remote for this position, with the possibility of working from home in Monongalia County, WV)
Growth Opportunities:
- Advancement to senior or management roles within the revenue cycle department
- Cross-training and development opportunities in other areas of healthcare administration
- Potential to work in various departments and hospitals within the WVU Medicine system
ASSUMPTION: This entry-level role provides a solid foundation for a career in healthcare administration, with opportunities for growth and development within the WVU Medicine system.
🌍 Location & Work Environment
Office Type: Remote (Home Work - Monongalia County WV (Local))
Office Location(s): Morgantown, WV (with the possibility of working from home in Monongalia County, WV)
Geographic Context:
- Morgantown is located in north-central West Virginia, approximately 70 miles south of Pittsburgh, PA
- The city offers a mix of urban and rural environments, with easy access to outdoor recreation and cultural attractions
- Monongalia County, where this role may be based, has a population of approximately 105,000 people
Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM, with a 1-hour lunch break (40 hours per week)
ASSUMPTION: This role may offer flexibility for working from home, depending on the organization's policies and the employee's performance.
💼 Interview & Application Insights
Typical Process:
- Online application submission
- Phone or video screening
- In-person or virtual interview with the hiring manager
- Background check and reference check
- Job offer and onboarding
Key Assessment Areas:
- Communication skills (both verbal and written)
- Attention to detail and accuracy in data entry
- Problem-solving and critical thinking skills
- Customer service and interpersonal skills
Application Tips:
- Highlight any relevant medical billing or office experience on your resume
- Tailor your resume and cover letter to emphasize your communication skills and attention to detail
- Prepare examples of how you have handled customer service or problem-solving scenarios in previous roles
ATS Keywords: Medical Billing, Insurance Claims, Patient Accounts, Revenue Cycle, Customer Service, Data Entry, Attention to Detail, Problem-Solving
ASSUMPTION: WVU Medicine uses an Applicant Tracking System (ATS) to screen and rank job applications. Including relevant keywords in your resume and cover letter can help your application stand out.
🛠️ Tools & Technologies
- Medical billing software (e.g., Epic Cadence, Cerner Revenue Cycle, etc.)
- Electronic health records (EHR) systems (e.g., Epic, Cerner, etc.)
- Microsoft Office Suite (Word, Excel, etc.)
ASSUMPTION: Familiarity with medical billing software and EHR systems is preferred but not required. Training will be provided for the right candidate.
👔 Cultural Fit Considerations
Company Values:
- Patient-centered care
- Collaboration and teamwork
- Innovation and continuous improvement
- Respect and integrity
- Accountability and excellence
Work Style:
- Detail-oriented and organized
- Strong communication and interpersonal skills
- Ability to work independently and in a team environment
- Adaptable and willing to learn
Self-Assessment Questions:
- Do you have strong attention to detail and a commitment to accuracy in your work?
- Are you comfortable working in a fast-paced, dynamic environment and handling multiple tasks simultaneously?
- Do you have excellent communication skills and a customer-focused mindset?
ASSUMPTION: WVU Medicine values employees who are detail-oriented, adaptable, and committed to providing excellent patient care.
⚠️ Potential Challenges
- Handling high volumes of claims and ensuring timely follow-up
- Managing multiple tasks and priorities in a fast-paced environment
- Dealing with difficult or upset customers and resolving billing issues
- Keeping up with changes in insurance policies, regulations, and coding processes
ASSUMPTION: These challenges can be overcome with strong organizational skills, attention to detail, and a commitment to continuous learning and improvement.
📈 Similar Roles Comparison
- Compared to other medical billing roles, this position may have a higher focus on customer service and follow-up
- This role may require more manual data entry and less automation than some other medical billing positions
- Career progression in this role may involve moving into management or specialized positions within the revenue cycle department
ASSUMPTION: This role offers a unique blend of customer service, data entry, and problem-solving responsibilities, with opportunities for growth and development within the WVU Medicine system.
📝 Sample Projects
- Managing a high volume of claims for a specific department or hospital within the WVU Medicine system
- Implementing a new insurance policy or regulation and updating the billing system accordingly
- Resolving a complex billing issue for a patient and ensuring accurate and timely follow-up
ASSUMPTION: These sample projects illustrate the range of responsibilities and challenges that an Insurance Claims Specialist may face in this role.
❓ Key Questions to Ask During Interview
- What are the most challenging aspects of this role, and how can I best prepare for them?
- How does this role fit into the overall revenue cycle operations of the department and the health system?
- What opportunities are there for growth and development within the WVU Medicine system?
- How does the organization support work-life balance for its employees?
- What is the typical career path for someone in this role, and what steps can I take to advance my career within the organization?
ASSUMPTION: Asking thoughtful and insightful questions during the interview process demonstrates your interest in and understanding of the role and the organization.
📌 Next Steps for Applicants
To apply for this position:
- Submit your application through this link
- Tailor your resume and cover letter to highlight your communication skills, attention to detail, and any relevant medical billing or office experience
- Prepare examples of how you have handled customer service or problem-solving scenarios in previous roles
- Follow up with the hiring manager one week after submitting your application to express your continued interest in the position
⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.
