(Remote – U.S.)
🧾 About the Role
WVU Medicine is seeking a detail-oriented Insurance Claims Specialist to join its Patient Financial Services team. This full-time remote role supports accurate billing, timely claims submission, and denial resolution to help maintain financial stability across the healthcare system. You’ll ensure compliance, work with third-party payers, and deliver exceptional service while navigating complex revenue cycle operations.
✅ Position Highlights
• Role: Insurance Claims Specialist – Professional Billing (PB)
• Location: Remote (U.S.)
• Department: Patient Financial Services
• Type: Full-Time
• Hours: 40 per week (1st shift)
• Req ID: JR25-13496
• Company: WVU Medicine
📋 What You’ll Own
• Submit accurate and timely claims to payers
• Resolve claim edits, denials, and account errors
• Perform account follow-up using portals and payer sites
• Assist with denial resolution and coordinate with internal departments
• Reconcile account transactions for billing accuracy
• Maintain and update work queues within productivity guidelines
• Generate reports, process returned mail and rejected claims
• Adhere to HIPAA and all regulatory guidelines
• Maintain confidentiality and provide excellent customer service
• Attend department meetings, webcasts, and training sessions
• Support performance improvement initiatives and revenue goals
🎯 Must-Have Traits
• High school diploma or GED
• 1+ year of experience in medical billing or office administration (preferred)
• Solid understanding of revenue cycle processes
• Strong oral and written communication
• Excellent organizational and prioritization skills
• Customer service mindset with tact and diplomacy
• Computer literacy and knowledge of medical terminology, ICD-10, CPT (preferred)
• Ability to sit for extended periods and operate office equipment
💻 Remote Requirements
• Reliable internet and work-from-home setup
• Ability to work independently and meet productivity metrics
• Willingness to attend virtual and/or in-person training sessions as needed
💡 Why It’s a Win for Remote Job Seekers
WVU Medicine is the state’s largest private employer and health system, offering remote flexibility with access to a large, supportive network. This is a solid opportunity to grow within one of the top academic healthcare systems in the country while helping people access the care they need.
✍️ Call to Action
If you’re ready to contribute your billing expertise to a mission-driven organization, apply today to join WVU Medicine as an Insurance Claims Specialist – PB.