Insurance Operations Lead: Pre-Auth & Billing Expert
Wvu-Medicin
WH Wheeling Hospital Inc. is seeking a role that oversees insurance specialists and registration specialists to ensure appointments and procedures are properly authorized.
The position focuses on training staff, monitoring insurance updates, and coordinating with payors to determine eligibility and benefits. The incumbent handles pre-certification/authorization, follows up on accounts, and uses EPIC for scheduling, billing edits, and data entry while maintaining confidentiality and high service
#J-18808-Ljbffr- ...information about this position.Oversees daily operations of all insurance specialists and registration... ...limitations. Tests and procedures are pre-authorized and scheduled. Deductibles,... ...for scheduling, transition of care, and billing edits.8. Performs medical necessity...SuggestedWork at officeLocal area
- ...ensure quality patient care. Responsibilities include developing strategies for quality patient care, ensuring regulatory compliance, coordinating with medical staff, and promoting cost-effective staffing and operations to improve patient outcomes. #J-18808-LjbffrSuggested
- ...and emergence. You will monitor patients, manage airway and anesthesia plans, document care, and participate in pre-anesthetic evaluations and post-operative care. WVU Health System supports professional development and adheres to stringent safety standards. #J-18808-Ljbffr...Suggested
- Bass Pro Shops in Wheeling, West Virginia, is seeking a Part-time Firearms Sales Outfitter to assist customers at the gun counter and provide knowledgeable guidance on firearms and hunting merchandise. The role requires you to complete 4473 forms accurately, maintain...SuggestedPart time
- United Hospital Center in Bridgeport, WV seeks a Pharmacy Technician to join our WVUHS-affiliated hospital. You will prepare unit-dose medications, read prescriptions, interact with patients, and ensure accuracy and safety in dispensing. Must hold WV license or trainee...SuggestedTraineeship
- Aspen Dental is seeking an Assistant Dental Office Manager (Operations Lead) to oversee daily front-office tasks and support the dental team... ...non-clinical staff, and ensure smooth scheduling and insurance processing. The role includes an eight-week training program,...Hourly payWork at office
- ...Office Manager supports the daily operation of the Wilson Lodge Front Desk... ...concerns, service recovery, billing questions, room moves, and... ...covered and organized.Support daily pre-shift communication with... ...problem-solving skills.Ability to lead by example and remain calm...Hourly payFlexible hoursShift workAfternoon shift
$2,265.41 per week
Care Team Solutions is seeking a travel nurse RN Infusion for a travel assignment in Wheeling, West Virginia. The role requires 36 hours per week, 12-hour shifts, and a 13-week duration starting 10/26/2026. Employment type is Travel/Contract with a gross weekly pay of ...Weekly payContract workShift work- United Hospital Center is seeking an RN for inpatient care delivery in a hospital setting. The role focuses on applying the nursing process, advanced beginner knowledge, and independent nursing judgment to meet patient needs. Minimum qualifications include an active RN...Shift work
- ...Key responsibilities # Sell life insurance remotely. Contact warm leads by phone and video, assess each client's coverage needs, present suitable policies and close sales against monthly production targets. # Lead and coach a small agent team. Run daily check-ins...Remote jobFull time
- ...DOCS Dermatology Group seeks an Office Manager to lead daily operations at our dermatology offices, overseeing both clinical and administrative... ...provider schedules, and ensure compliant use of EMR and billing systems, while collaborating with nurses and executives. Competitive...Work at office
- ...is seeking a Beauty Advisor to drive sales through authentic beauty passion and consultative client engagement. You will maintain expert knowledge of top beauty brands, execute merchandise sets, and support replenishment and visual standards according to Sephora at Kohl...Seasonal work
- Wheeling Hospital, Inc. in Wheeling, WV is seeking a qualified Pathologists’ Assistant to perform gross descriptions, dissections, and postmortem examinations. You will coordinate specimen processing, obtain clinical history, and prepare samples for multiple studies including...
- WVU Medicine in Bridgeport, WV seeks a pathologist to join a well-established hospital practice at United Hospital Center. The ideal candidate will have excellent interpersonal, diagnostic, and clinical skills and be eligible to obtain a state medical license. Responsibilities...
- ...but is not limited to retirement with employer matching, health insurance, life insurance, social security, and Northern tuition waivers.... ...Participate in service and/or advising during periods designed for pre-registration, registration, new student orientation and other...Full timePart timeWork at officeAfternoon shift
- Warren Distribution’s Warehouse Lead in Glen Dale, WV oversees inbound and outbound product flow, transports items, and maintains records... ...warehouse. The position requires experience with forklift operation, WMS usage, and adherence to safety policies, with a focus on...
- GAI Consultants Inc is seeking a Senior Civil Project Designer 1 to join their team. This role will interpret, organize, execute, and coordinate assignments, and act as a task manager for small to midsize projects while serving as the technical specialist. This position...Remote workFlexible hours
- ...and procedures are authorized. Insurance carriers are contacted to... ...limitations, tests and procedures are pre-authorized and scheduled,... ...scheduling, transition of care, and billing edits. 6. Performs medical... ...Manual dexterity required to operate standard office equipment. WORKING...Temporary workWork at officeLocal areaShift work
- We are hiring a Managing Director of Water Transfer Field Operations to lead all water transfer activities within a designated region or key... ...coverage Health savings account (HSA) Company Paid Life Insurance and Accidental & Dismemberment Insurance Voluntary Life Insurance...Work at office
- ...WPCD- Operations SupervisorCity of Wheeling - WHEELING, WV 26003DescriptionWPCD OPERATIONS SUPERVISORDefinition: Under general direction of the WPCD Superintendent, supervises and oversees the collection, treatment, and disposal of wastewater for the City.Essential Functions...Work experience placementWork at officeLocal area
- ...supervise staff and adheres to approved budget.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.Operate Schenk Lake facility.Oversee operation of Aerial Challenge Course.Responsible for Safety Review of Aerial Challenge Course and all...
$18 - $28 per hour
...Operations ManagerWe're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...team through strong leadership, demonstrating initiative and leading by example.The Operations Manager is responsible for...Hourly payFull timeTemporary workLocal areaFlexible hoursShift workNight shiftWeekend workDay shiftEarly shift- ...Operations ManagerRAYUS Radiology is looking for an Operations Manager to join our team. We are challenging the status quo by shining... ...transportation is required.Valid driver's license and proof of current insurance, if personally driving a vehicle for company business,...Full timeWork at office
$20.23 - $34.25 per hour
Overview Baker Tilly is a leading advisory, tax and assurance firm, providing clients with... ...Dual role supporting both office operations and administrative leadership support. Leader... ...setup, electronic file coordination, and billing assistance. Stakeholder Coordination &...Work at officeLocal areaWorldwide$51k - $65k
...Comparion Description Comparion Insurance Agency is hiring self-... ...customers using established lead methodologies and relationship... ..., hospitality, service, operations, logistics, banking, account... ...through consultative insurance experts located in their communities....Full timeWork at officeLocal areaRemote workFlexible hours$18 - $28 per hour
...one family and one community at a time. Position Summary The Operations Manager is a member of the Store Management team, and as such,... ...team through strong leadership, demonstrating initiative and leading by example. Responsibilities The Operations Manager is responsible...Hourly payFull timeTemporary workLocal areaFlexible hoursShift workNight shiftWeekend workDay shiftEarly shift- RMH Reynolds Memorial Hospital, part of West Virginia University Health System, seeks a skilled Registered Dietitian to provide comprehensive medical nutrition therapy. You will work across patient populations, document in the electronic medical record, and support a multidisciplinary...
$16.25 per hour
...or older.Current driver's license, car registration, and auto insurance.Other licensure or certification where required by regulatory authority... ...career development and advancement opportunities.Sevita is a leading provider of home and community-based specialized health care....Hourly payFull timePart timeWork experience placement- ...Shops is seeking a Director of Distribution to oversee day-to-day operations across the distribution center network, including retail... ...addition, the role will participate in planning staff for growth and lead major projects within the operation. The position requires...
- ...resolve institutional and CEWD customer concerns in a timely, professional, and solution-oriented manner. Maintain daily office operations, including detailed recordkeeping, customer follow-up, and ongoing coordination with internal departments to ensure efficient...Contract workWork experience placementWork at officeLocal areaAfternoon shift
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