Teams at WVU Medicine

Manage a team delivering financial and compliance analyses for outpatient/provider-based clinics across WVU Medicine. Train staff, maintain CMS provider-based compliance (42 CFR 413.65), evaluate new clinic setups, produce reimbursement and ad-hoc financial reports, monitor Epic billing designations, and lead cross-functional initiatives to optimize reimbursement and regulatory adherence.

Manage patient account balances by submitting accurate claims, resolving edits and denials, following payer rules and timelines, using payer portals for status checks, reconciling transactions, maintaining productivity metrics, and providing excellent customer service while complying with HIPAA and billing regulations.

Manage patient account balances and submit accurate claims to third-party payers. Resolve claim edits and denials, follow up with payers via portals, reconcile billing transactions, maintain productivity targets, support reporting and clerical tasks, ensure HIPAA compliance, and provide customer service to patients and staff.