Insurance Claims Specialist PB

About This Insurance Claims Specialist PB Role

WVU Medicine is hiring for a Insurance Claims Specialist PB position connected to Remote ## Employment Type Full-Time ## Category Medical / Healthcare ## Subcategory Professional Billing ## Additional Categories * Revenue Cycle * Medical Billing * Insurance Follow-Up * Claims Processing * Denials Management * Patient Financial Services * Accounts Receivable ## Phone Level Low ## Job Summary WVU Medicine is seeking an Insurance Claims Specialist PB to support professional billing and revenue cycle operations. This role is responsible for claim submission, payer follow-up, denial resolution, account research, billing reconciliation, claims processing, and account management activities to support reimbursement and collections.. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

The role appears to focus on accurate account work, structured documentation, research, and timely follow-through. Candidates should review the official posting carefully before applying because employer needs, schedules, location rules, and application requirements can change.

Key Responsibilities

Daily Work You May Handle

• Submit accurate claims to third-party payers
• Resolve claim edits and billing errors
• Follow up on unpaid insurance claims
• Utilize payer portals and payer websites
• Research claim rejections and returned claims
• Investigate and resolve denials
• Reconcile billing account transactions
• Process billing and follow-up transactions
• Monitor work queues and productivity metrics
• Maintain documentation and account notes

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• Required
• High School Diploma or equivalent
• Computer proficiency
• Strong written and verbal communication skills
• Customer service skills
• Ability to manage multiple priorities
• Attention to detail
• Preferred

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Phone Level and Work Style

Bellencia phone-level estimate: Moderate phone. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Revenue Cycle work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: not listed in the pasted posting. Schedule: not clearly listed. Job type: Full-time. Location or work arrangement: Remote ## Employment Type Full-Time ## Category Medical / Healthcare ## Subcategory Professional Billing ## Additional Categories * Revenue Cycle * Medical Billing * Insurance Follow-Up * Claims Processing * Denials Management * Patient Financial Services * Accounts Receivable ## Phone Level Low to Moderate Phone ## Job Summary WVU Medicine is seeking an Insurance Claims Specialist PB to support professional billing and revenue cycle operations. This role is responsible for claim submission, payer follow-up, denial resolution, account research, billing reconciliation, claims processing, and account management activities to support reimbursement and collections.. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Insurance Claims Specialist PB, Medical / Healthcare, Revenue Cycle, Accounts Receivable, Medical Billing, Claims, Insurance Verification, Coding, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.