WVU Medicine

Accounting Manager

• Responsible for the build and maintenance of the cost allocation system that provides financial information for profit and loss reporting and analytics for all hospitals and physician groups at WVU Medicine.
• Serve as the lead on cost allocation methodologies for the organization and ensure integrity of data and reporting in decision support in order to provide accurate and useful reporting to all executive leaders.
• Serve as a project leader in the building, scaling, and implementation of a multidimensional cost allocation system utilizing methods to the patient encounter and charge code level.
• Lead collaborations with CFOs, Strata, Finance, Accounting, Patient Service Departments, and all Clinical Areas to build optimal cost allocation configuration.
• Responsible for accuracy, integrity, and usefulness of profit and loss statement actuals and projections modeled by the DS Analysts.
• Resolve any reporting issues with profit and loss statements, in addition to performing any additional cost analyses required to support the understanding of the profit and loss statement actuals or projections.
• Serve as the leader in improving the cost allocation methodology and system and continually collaborate with key organizational stakeholders.

Senior Cost Accounting Analyst

Insurance

• Managing patient account balances including accurate claim submission
• Compliance with all federal/state and third party billing regulations
• Timely follow-up and assistance with denial management
• Submits accurate and timely claims to third party payers
• Resolves claim edits and account errors prior to claim submission
• Adheres to appropriate procedures and timelines for follow-up with third party payers
• Gathers statistics, completes reports and performs other duties
• Organizes and executes daily tasks in priority to achieve optimal productivity
• Monitors accounts to facilitate timely follow-up and payment

Insurance Claim Specialist

Manager

• Facilitates referrals of patients to providers
• Takes crisis calls and works outcomes for patients
• Sends refill requests to providers and call pharmacy
• Provide education to patients and families
• Document assessment, plan, interactions, and interventions
• Arrange, procure, and coordinate patient/family pre and post hospital needs

Case Manager

Accounts Payable

• Provides financial, administrative and clerical support by ensuring payments are completed and expenses are controlled
• Matches purchase orders to invoices and enters invoices into computer
• Resolves problems associated with payables transactions
• Reconciles processed work by verifying entries and comparing system reports to balances
• Charges expenses to accounts and cost centers by analyzing invoice/expense reports and recording entries
• Maintains accounting ledgers by verifying and posting account transactions
• Verifies vendor accounts by reconciling monthly statements
• Reports sales taxes by calculating requirements on invoices
• Provides accurate and effective document preparation and records management

Accounts Payable Rep

Therapist

• Accurately recording, interpreting and administering the treatment prescribed by radiation oncologists.
• Take daily images, analyze them and make adjustments to the patient to ensure accurate treatment.
• Operate a CT scanner to obtain images to assist the physician in localizing anatomical areas requiring treatment.
• Monitor and observe each patient's clinical progress and emotional needs.
• Refer patients to physicians, nurses or social service professionals when necessary.

Radiation Therapist – Cancer and Infusion Center

• Administers external radiation therapy to patients as prescribed by a radiation oncologist to affect curative or palliative treatment of disease.
• Assures that the patient’s position, the orientation of the treatment equipment and the placement of the treatment beam conform to the specifications of the planned course of treatment.
• Performs simulations and localization according to established protocols and produces usable images for the planning and verifying of treatment procedures.

Radiation Therapist

Claims Specialist

• Determines accuracy and completions of claim information
• Entry/verifies claims data
• Resolves claim edits, review history records, and determines benefit eligibility for service
• Reviews payment levels to arrive at final payment determination
• Meets all production and quality standards, maintaining workques according to department standards
• Effectively communicates with internal and external staff
• Elevates issues to next level of supervision, as appropriate
• Ensures accuracy of data entered and record maintenance
• Attends all required training classes, demonstrating proficiency and ability to learn

Insurance Claims Processor

• Assuring all appointments and procedures are authorized
• Contacts insurance company or employer to determine eligibility and benefits for requested services
• Performs medical necessity screening as required by third party payors
• Documents referrals/authorization/certification numbers in the EPIC system
• Assesses all self-pay patients for potential public assistance through registration/billing systems

Insurance Specialist

• Provides financial, administrative, and clerical support within the Accounting/Finance department
• Responsible for review and processing of vendor invoices, provider payments, and voids and reissues of provider payments
• Processes the monthly premium billing cycle for ASO PEPM fees and Medicare Advantage enrollees
• Reconciles invoices and premium receipt reports to premium billing reports
• Research, resolve and communicate resolution to internal team as well as external vendors for finance related customer relationship management (CRM) requests
• Communicates weekly claims funding totals for both capitated and non-capitated claims to ASO clients
• Provides management with weekly claims settlement analytics and reports
• Manages vendor information for accuracy relating to address and banking information
• Compiles and processes accounts payable, maintains day to day payment cycle
• Verifies approval on all vendor payment requests
• Processes payments to contracted providers for claims submitted to and processed by the Claims Operations department
• Resolves problems associated with vendor payables transactions
• Provides accurate and effective document preparation and records management
• Maintains relationships with all areas of the organization to ensure effective workflow processes as it relates to claims processing and customer service

Insurance Accounting Specialist

Operations

• Oversee ambulatory operations
• Manage staff and budgets
• Ensure compliance with regulations

VP, Ambulatory Operations – Southern Region

• Provides evaluation of and care for respiratory therapy patients
• Administers prescribed respiratory therapeutic services
• Performs basic and advanced therapeutic procedures for neonatal, pediatric, adult, and geriatric patients by order of the physician
• Assists with patient and family/caregiver education along with other members of the healthcare team

Respiratory Therapist, Sign-On Bonus Eligible

Financial Planning and Analysis

• Directs the establishment and maintenance of accounting principles, practices, and procedures.
• Maintains all accounting records, and directs the development, analysis, and interpretation of statistical and accounting information.
• Manages and/or provides oversight to the functions of general accounting, budgeting, accounts receivables, daily cash management, and financial reporting.
• Develop and maintain robust financial models and executive-ready presentations, dashboards, and reports that clearly communicate insights and recommendations for senior leadership.
• Responsible for maintaining a financial accounting system for timely and accurate recording, allocation, and monitoring of all financial transactions in the general ledger system.
• Responsible for the processing and development of the operating budget.
• Responsible for monitoring budget performance and providing ongoing reporting and variance explanations.
• Coordinate operations through direction of staff in general accounting, budgeting, cash forecasting and management, capital asset management, and accounts receivables.
• Utilize data visualization techniques to design and implement dashboard reports for senior management.
• Ensure effective HME billing and revenue cycle functions including accurate management of Accounts Receivable, denial resolution, WIP corrections, and billing for special products.
• Lead to optimize the revenue cycle and improve financial outcomes.

Director of Finance – Post Acute

Compliance

• Design reports and analyze data from various sources to prepare cost reports
• Coordinate information from various levels of the organization, with auditors and external vendors
• Analyze data from all sources to ensure accuracy, consistency, and compliance
• Support performance improvement and quality assurance initiatives
• Conducts research and provides documentation and explanations for all necessary workpapers, schedules, and forms