Claims Analyst
The Health Plan of West Virginia IncCharleston, WV, USjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionPrevious claims processing. Experience in billing or physician office experience is preferred. Performs initial review of all claim edits as directed. Completes or routes all reviews in accordance with time parameters established by The Health Plan. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria / payment guidelines. Reports patterns of incorrect billing and utilization to manager or claims coordinator. Advises management of items that are unclear or that are not addressed in the established criteria / payment guidelines. Maintain a quality rating of 98%. Processes 15-20 claims per hour. Consistently displays a positive attitude and acceptable attendance. Participate in external and / or internal trainings as requested.
Job Description
Job Description
Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviewer must meet or exceed production and quality standards and follow documented policies and procedures.
Required :
- High diploma or equivalent.
- Ability to follow written directions and work independently.
- Familiarity with medical terminology, CPT and ICD-10 coding is required.
- Computer and typing experience is required.
Desired :
Responsibilities :
8 : 00am - 5 : 00
40 hr
serp_jobs.job_alerts.create_a_job
Claim • Charleston, WV, US
Job_description.internal_linking.related_jobs
Bank, we're on a journey to do our best.Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.We b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Experian is a global data and technology company, powering opportunities for people and businesses around the world.We help to redefine lending practices, uncover and prevent fraud, simplify health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Pulse Healthcare Services is seeking an experienced Occupational Therapy Assistant for an exciting Travel Allied job in Spencer, WV.
Shift : 5x8 hr days Start Date : ASAP Duration : 17 weeks Pay : $1584...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Position is available June 2026.Permanent location is Charleston WV.Commercial Banking Analyst will train up to two months in Alexandria VA at initial hire.
The Commercial Banking Analyst shall perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
READY FOR AN EXCITING OPPORTUNITY?.Credit Verification Specialist.In addition to verifying and updating credit information as requested by clients in support of the mortgage underwriting process, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Description : Atlantic Emergency Solutions offers competitive pay and comprehensive benefits package at or above industry standards.
Compensation is based on experience and certifications.Any payrate...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are seeking a detail-oriented and motivated Healthcare Claims Analyst to join our team.In this role, you will be responsible for reconciling healthcare payments, posting claims, generating invoi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to dete...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Experian is a global data and technology company, powering opportunities for people and businesses around the world.We help to redefine lending practices, uncover and prevent fraud, simplify health...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
This role will apply knowledge of the local government market and CentralSquare software systems to.Solutions Specialist will respond to Requests for Proposals (RFPs),.
Sales Representatives prepari...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 
We are looking for a DevOps Product Manager to help us build functional systems that improve customer experience.As a Product Manager (SaaS), you will work alongside other Product Managers to scale...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days We are looking for a Claims Business Analyst who will be the vital link between our information technology capacity and our business objectives by supporting and ensuring the successful completion ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
Healthcare Credit Analyst (Multiple Levels)
USA JobsCharleston, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Product Manager, Digital Mortgage (Remote)
ExperianUnited, WV, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Occupational Therapy Assistant - $1584.62 / Week
Pulse Healthcare ServicesSpencer, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Commercial Banking Analyst-Available June 2026
Burke & Herbert Bank & TrustSouth Charleston, WV, USserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Expert - Local
IntuitHURRICANE, West Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Preparer - Local
IntuitHURRICANE, West Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Credit Verification Specialist
AltisourceUnited, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Parts Specialist
Atlantic Emergency SolutionsMilton, WV, USserp_jobs.job_card.full_time
Healthcare Claims Analyst - Remote
Fortuna BMCCharleston, WV, USAserp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Senior Claims Specialist
CorVel Enterprise Claims, Inc.Charleston, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director of Product Management, Curation (Remote)
ExperianUnited, WV, USserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Solutions Specialist
CentralSquare TechnologiesCharleston, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Expert - Onsite
IntuitHURRICANE, West Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
DevOps Product Manager
ForhyreUnited, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tax Expert
IntuitHurricane, WV, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Business Analyst
ForhyreUnited, WV, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Preparer - 2+ Yrs Paid Tax Experience Required
IntuitHURRICANE, West Virginia, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Tax Expert - 2+ Yrs Paid Tax Experience Required
IntuitHURRICANE, West Virginia, United Statesserp_jobs.job_card.full_time