Medical Policy Specialist jobs in Parkersburg, WV

NATURE OF WORK:   Responsible for preparing, submitting clean medical claims to commercial insurance, government funded plans, grants or other types of payer. Responsible for monitoring, auditing, and reporting on medical claim status and collection from those payers.  Proficient in identifying, resolving all types of service and claim issues.  Keep current on all regulation and best billing practices. Inform Manager of Billing of any change in regulation or claim submission that requires the Practice Management software to be updated. Possesses the interpersonal skills necessary to interact with clients, Valley employees, management, and insurance representatives, to resolve any medical billing question or issue with client account.  Presents and projects a respectful professional business-like image to clients, the community and fellow employees. 

MINIMUM QUALIFICATIONS: ______________________________________________________________________________

• Ability to perform essential duties as outlined below
• High school Diploma or Equivalent
• Communication & Active Listening skills.
• One Year of Experience in Medical Billing 
• Knowledge of Medical Terminology that commonly appears on claims.
• Knowledge of Commercial, Medicaid and Medicare Billing requirements and regulations.
• Problem Solve, Attention to Detail, Organization and Multi-Task.
• How to Operate Office Equipment; calculator, fax, copier, and computer.
• Basic Understanding of Accounting Procedures.
• Comply with Client’s Rights and confidentiality laws through HIPAA compliance.
• Comply with organization policies and procedures.
• Read, Speak and Write the English language.