🧾 About the Role
WVU Medicine is hiring a remote Insurance Claims Specialist to ensure timely and accurate claim submissions, manage account balances, and support denial resolution efforts. This full-time position plays a key role in the financial health of the system while providing excellent service to patients and third-party payers.
✅ Position Highlights
• 100% remote, full-time (40 hours/week)
• Join one of West Virginia’s largest health systems
• HIPAA-compliant home office required
• Support revenue cycle and reimbursement operations
• Focused on claims submission, follow-up, and denial resolution
📋 What You’ll Own
• Submit, track, and manage third-party insurance claims
• Investigate claim edits, denials, and rejections
• Use payer portals and EMRs for claim status updates
• Assist with denial management and billing reconciliations
• Maintain accurate records and follow HIPAA protocols
• Communicate with payers and departments to resolve outstanding balances
• Attend meetings and educational sessions to remain compliant and up-to-date
• Meet productivity and performance targets within assigned queues
🎯 Must-Have Traits
• High school diploma or equivalent
• 1+ year of experience in medical billing or a medical office (preferred)
• Strong written and verbal communication skills
• Comfortable with computers, billing software, and online portals
• Familiarity with medical terminology and insurance claims processes
• Knowledge of ICD-10, CPT, and payer rules is a plus
• Self-motivated with excellent time management skills
💻 Remote Requirements
• Quiet, secure home office
• High-speed internet connection
• Ability to sit for long periods and handle detailed review tasks
💡 Why It’s a Win for Remote Job Seekers
This is a steady, team-based role perfect for those with billing or claims experience looking to work from home full-time. It offers a chance to grow within a respected healthcare network while doing impactful, behind-the-scenes work that supports patient care.
✍️ Call to Action
Apply now to become a remote Insurance Claims Specialist and help WVU Medicine deliver seamless financial services with care and precision.