Insurance Claims Representative

Preston Memorial Hospital, located in beautiful Kingwood, WV, less than 30 miles from Morgantown, WV, is a rural hospital with vision, diversity, stability and a future.At PMH, we have one simple mission:To enhance the health of the communities we serve, one person at a time. Our 300 plus dedicated and caring employees are encouraged to employ their talents and abilities to solve any challenge faced by our patients and the surrounding community.

While many hospitals, especially rural hospitals, are closing because of ever declining reimbursement for the services they provide, Preston Memorial Hospital continues to get stronger by offering new programs, new services, and operating more efficiently. Besides providing excellent healthcare services, Preston Memorial also is a strong contributor to the county's economic status as it is the third largest employer in Preston County.

POSITION SUMMARY

Insurance Claims Representative is responsible for managing patient accounts during pre and post claims processing. Process includes accurate claim submission within payee guidelines, timely account follow-up and denial management. This position will also complete appropriate reports and participate in performance improvement projects.

EDUCATIONAL REQUIREMENTS

oHigh school diploma or GED equivalent.

EXPERIENCE

oRequired

§One (1) year of Insurance Claims Processing

oPreferred

§Medical Billing or Coding classes