Job Information
West Virginia University Research Corporation Health Information Specialist - Department of Pediatrics/Medical Genetics in Morgantown, West Virginia
Description West Virginia University Research Corporation is currently accepting applications for a Health Information Specialist in the Department of Pediatrics/Medical Genetics About the Opportunity This position provides insurance prior authorization support to the Medical Genetics Section of the Department of Pediatrics including administrative tasks, educational and research activities of the program in accordance with specific objectives. This position provides program, as well as direct internal and external client support services. Responds to inquiries and independently resolves matters of low complexity. Responsibilities require some judgment, resourcefulness and originality, but diverse guides and precedents are usually available to apply or adapt to the circumstances. Work effort has considerable impact on client services, program and project image, with potential legal liabilities. At WVU Research Corporation, we strongly believe in work-life balance and keeping time for things we love outside our work. WVU Research Corporation offers a comprehensive benefits package with a variety of options to suit your needs: * 13 paid holidays (staff holiday calendar) * PTO * 403(b) retirement savings with a fully vested 3% employee contribution match, (Employees have the option of contributing an additional 1-3% of their earnings to the plan, which is also matched by the WVURC) * A range of health insurance and various other benefits * Dependent Education Scholarship * WVU Perks * And More!! What you'll do: Contacts insurance companies to determine eligibility, benefits, and authorization for requested genetic testing. Provide all relevant clinical information, ICD-10 codes, and CPT codes to obtain necessity of prior-authorization and necessary paperwork to insurance and lab.
Document referrals/authorization/certification numbers in the registration/scheduling systems plus info in genetic spreadsheet.
Maintain current knowledge of major insurance policies, practices, and requirements regarding all relevant procedures.
Perform follow-up and assists with denial management issues through written communication, phone calls, or by facilitating peer-to-peer reviews between physicians.
Receive incoming calls, email correspondence, ensure that accurate and timely communication is facilitated and patient satisfaction is high.
Provide excellent and caring customer service to patients, visitors and employees. Will schedule patient appointments in Epic for Morgantown and outreach sites. Provides back up to department secretary in her absence.
Duties shall not be limited to these activities but shall also include other activities as assigned by the Program Assistant III or the Division Chief of Medical Genetics. Participate in the continuing educational activities of the program by helping coordinate or presenting educational programs to groups as outlined by supervisor. Qualifications High School diploma or equivalent required. Associate's Degree in an allied health field preferred. A minimum of six (6) months of experience in medical coding and insurance. Knowledge of ICD-10 and CPT coding requirements. Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology. Knowledge of the structure and content of the English language including... For full info follow application link.
West Virginia University Research Corporation is proud to be an Equal Opportunity employer. West Virginia University Research Corporation values diversity among its employees and invites applications from all qualified applicants regardless of race, ethnicity, color, religion, gender identity, sexual orientation, age, nationality, genetics, disability, or Veteran status.