Accounts Receivable Professional

3 days ago

Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time
Job Summary

We are seeking a highly skilled Accounts Receivable Professional to join our team at The Health Plan of West Virginia Inc. This role is responsible for producing accurate billings statements, maintaining accounts receivable records, and ensuring controlled and timely collections and documentation.

About the Role

This position involves coordinating with Enrollment Services and Marketing representatives to ensure member eligibility, researching, balancing, and posting payments, as well as processing refunds and resolving payment-related issues. The successful candidate will also be responsible for working actiongrams and workflow notifications in Heart, notifying members regarding payment issues, saving, balancing, and distributing monthly reports, and maintaining billing copies in the Document Repository.

Key Responsibilities
  • Produce accurate billings statements and maintain accounts receivable records;
  • Coordinate with Enrollment Services and Marketing representatives to ensure member eligibility;
  • Research, balance, and post payments, including lockbox and direct pay payments and payment kick outs;
  • Process refunds and resolve payment-related issues;
  • Work actiongrams and workflow notifications in Heart;
  • Notify members regarding payment issues;
  • Saving, balancing, and distributing monthly reports;
  • Maintain billing copies in the Document Repository;
  • Provide Form 5500 information for employer groups when requested;
  • Prepare Medical certifications for members' housing when requested;
  • Distribute department mail to the correct staff;
  • Invoice reconciliations;
  • Multiple Employer Welfare Arrangements (MEWA) Invoicing;
  • LEP reconciliation;
  • Responsible for invoicing, collecting, and posting for Benefits Administration business;
  • Provide self-funded groups with specialized reports;
  • Monitor self-funded bank accounts to track funding and payments related to self-funded group activity;
  • Gather information and assist with A/R audits;
  • Reconcile self-funded group bank statements;
  • Assist A/R Manager with high-level tasks, including special reporting under strict timelines;
  • Complete various worksheets on a weekly basis as requested by the Manager.
Requirements

To be successful in this role, you will need:

  • A High school diploma or equivalent;
  • Effective computer, analytical, organizational, and customer skills;
  • Experience with computer spreadsheets and Microsoft Office Programs (Word, Excel, Outlook);
  • Ability to multi-task;
  • Excellent telephone skills;
  • An Associate's Degree in Accounting is preferred;
  • Experience in billing or account receivable is preferred.

  • Accounting Professional

    3 days ago

    Wheeling, West Virginia, United States Panhandle Cleaning & Restoration Full time

    Job DescriptionThe Accounting Professional will be responsible for:Reconciling bank and credit card statementsUtilizing a P.O. systemLeveraging job costing expertiseCollecting paymentsLearning new computer systems related to insurance restorationThe ideal candidate will have advanced Excel skills, excellent time management and customer service skills, and...

  • Accounting Department Specialist

    3 days ago

    Wheeling, West Virginia, United States Panhandle Cleaning & Restoration Full time

    Accounting Specialist Job DescriptionWe are seeking a detail-oriented and organized Accounting Specialist to join our accounting department. The ideal candidate will have experience in managing financial transactions, analyzing data, and implementing financial controls.ResponsibilitiesManage the reconciliation of bank and credit card statements.Process...

  • Travel Imaging Professional

    1 week ago

    Wheeling, West Virginia, United States Aureus Medical Group - Imaging Full time

    We are seeking a skilled Ultrasound Technologist to join our team in Wheeling, West Virginia. This is an exciting opportunity for a motivated professional to work in a hospital setting, utilizing their expertise in echocardiography and sonography to provide high-quality patient care.As a Travel Imaging Professional with Aureus Medical Group - Imaging, you...

  • Dietary Services Professional

    7 days ago

    Wheeling, West Virginia, United States Dietary Solutions Full time

    Opportunity OverviewWe are seeking a highly skilled and motivated Consultant Dietitian to join our team in the Wheeling, WV area.This is an excellent opportunity to leverage your expertise in clinical nutrition and make a meaningful impact on the lives of residents/patients in long-term care settings.We offer a competitive salary, flexible scheduling, and...

  • Rehabilitation Professional

    7 days ago

    Wheeling, West Virginia, United States Recover-Care Healthcare Full time

    As a key member of our multidisciplinary team at Recover-Care Healthcare, the successful candidate will be responsible for delivering high-quality occupational therapy services to our patients. With a salary of $65,000 per year and a range of benefits, this is an exciting opportunity for those passionate about making a difference in people's lives.The ideal...

  • A/R Collections Specialist

    3 days ago

    Wheeling, West Virginia, United States The Health Plan of West Virginia Inc Full time

    Account Receivable Collections Specialist Job DescriptionThe Health Plan of West Virginia Inc. seeks an experienced Account Receivable Collections Specialist to join its team. The successful candidate will be responsible for managing the day-to-day activities of the Accounts Receivable Department, ensuring timely and accurate collections, and providing...

  • Medical Staffing Professional

    7 days ago

    Wheeling, West Virginia, United States Summit Medical Staffing Allied Full time

    We are seeking a highly skilled Ultrasound Technologist to join our team at Summit Medical Staffing Allied. As a key member of our allied health professional staff, you will be responsible for providing exceptional patient care and contributing to the delivery of high-quality medical services.The ideal candidate will have a strong background in ultrasound...

  • Travel Healthcare Professional

    4 weeks ago

    Wheeling, West Virginia, United States Host Healthcare Full time

    Are you a skilled and dedicated Registered Nurse seeking a challenging opportunity in Skilled Nursing? Look no further! Host Healthcare is currently seeking a travel nurse RN for a 13-week assignment in Wheeling, West Virginia.About the RoleSpecialty: Skilled NursingDiscipline: RNThis is an excellent opportunity to work with a reputable healthcare company...

  • Advanced Practice Professional- GI- Wheeling

    2 days ago

    Wheeling, West Virginia, United States WVU Medicine Full time

    WVU Medicine is seeking an experienced Gastroenterology Advanced Practice Clinician to join our team. This role will be responsible for providing comprehensive care to patients with digestive diseases, including performing diagnostic/therapeutic procedures and coordinating discharge planning.About WVU MedicineWe are a leading healthcare system in West...

  • Advanced Medical Imaging Professional

    2 weeks ago

    Wheeling, West Virginia, United States Summit Medical Staffing Allied Full time

    Summit Medical Staffing Allied is seeking a skilled Advanced Medical Imaging Professional for a travel assignment in West Virginia.About the RoleSpecialty: Ultrasound TechnologistDiscipline: Allied Health ProfessionalThe ideal candidate will have 13 weeks of commitment, working 40 hours per week with a 10-hour day shift. This is an excellent opportunity to...

  • Medical Professional for Correctional Care

    4 weeks ago

    Wheeling, West Virginia, United States Wexford Health Sources Inc Full time

    Are you looking for a career in healthcare that offers a sense of purpose and fulfillment? Consider joining Wexford Health Sources, Inc. as a Licensed Practical Nurse (LPN).With over 30 years of experience in correctional healthcare, we have helped millions of patients receive quality medical and mental health services. Our team of dedicated clinical...

  • Traveling Healthcare Professional

    3 days ago

    Wheeling, West Virginia, United States TotalMed Case Management Staffing Full time

    Seeking a Registered Nurse-Home Health for a travel assignment in West Virginia.About the PositionTotalMed Case Management Staffing is a leading provider of healthcare staffing solutions. We are currently seeking a highly skilled and dedicated Registered Nurse to join our team for a 13-week travel assignment in Wheeling, West Virginia.The successful...

  • Travel Healthcare Professional Wanted

    2 weeks ago

    Wheeling, West Virginia, United States Host Healthcare Full time

    Job OpportunityHost Healthcare is seeking a travel nurse RN for a challenging assignment in Skilled Nursing at a top-rated facility in Wheeling, West Virginia.Key Details:Specialty: Skilled NursingDiscipline: RNShift: 12 hours, nightsDuration: 13 weeksHours: 36 per weekAs a travel nurse with Host Healthcare, you will enjoy a competitive salary of $120,000 -...

  • Healthcare Professional

    2 weeks ago

    Wheeling, West Virginia, United States Wheeling Hospital Full time

    Job OverviewWe are seeking a highly skilled Registered Nurse to join our team at Wheeling Hospital. This is a 13-week travel assignment opportunity in the Progressive Care Unit (PCU), offering a competitive salary and benefits package.Estimated Salary: $2218.00 per week, paid directly into your bank accountAbout the JobThe Registered Nurse will provide...

  • Physician Locum Opportunity for Experienced Professionals

    4 weeks ago

    Wheeling, West Virginia, United States Weatherby Healthcare Full time

    We are seeking a skilled Physician to join our team as a Locum Tenens provider. This is an exciting opportunity for experienced professionals to work with our esteemed clients and make a meaningful impact in the healthcare industry.Job SummaryThis locum tenens position requires a dedicated physician to provide medical care and services to patients in need....

  • Travel Health Care Professional in Wheeling, WV Opportunity

    4 weeks ago

    Wheeling, West Virginia, United States Ardor Health Solutions Full time

    Opportunity Overview:A dynamic and rewarding travel health care professional opportunity is available with Ardor Health Solutions in Wheeling, WV. This role will provide a unique chance to work as a Home Health RN and contribute to the growth of our team.This full-time position requires active WV TLC HCS of W Virginia LLC (20126) license, 2+ years of Home...

  • Medical Professionals Sought for Skilled Nursing Facility

    4 weeks ago

    Wheeling, West Virginia, United States Protouch Staffing Full time

    Job SummaryWe are seeking skilled LPNs/LVNs to work in a rewarding environment at our client's Skilled Nursing Facility. This is an excellent opportunity for nurses who value providing high-quality patient care and have a strong commitment to teamwork.About the Job:This is a 12-hour night shift position with regular weekends scheduled. We require our...

  • Registered Nurse

    1 week ago

    Wheeling, West Virginia, United States Wheeling Hospital Full time

    Job Title: Registered Nurse - Medical Surgical 4th Floor ProfessionalSalary: $60,000 - $80,000 per yearWe are seeking a highly skilled and compassionate Registered Nurse to join our Medical Surgical team on the 4th floor. As a RN, you will provide top-notch patient care, work collaboratively with other healthcare professionals, and contribute to a positive...

  • Nurse Travel Professional

    3 weeks ago

    Wheeling, West Virginia, United States Advantis Medical Staffing Full time

    Are you a dedicated and compassionate Registered Nurse (RN) looking to embark on an exciting new travel adventure in Wheeling, WV?We are seeking an experienced Med Surg RN to join our team at Advantis Medical Staffing for a 13-week contract in the beautiful city of Wheeling.About the Job:Company OverviewAdvantis Medical Staffing is a leading healthcare...

  • Travel Healthcare Professional

    3 weeks ago

    Wheeling, West Virginia, United States Host Healthcare Full time

    Job Title: Travel Healthcare Professional - PCU Nurse">Job Type: Travel NursingLocation: Wheeling, West VirginiaJob Overview: Host Healthcare is seeking a qualified travel nurse for a Progressive Care Unit (PCU) position in Wheeling, WV.Job Responsibilities: As a travel nurse in our PCU department, you will provide high-quality patient care, work...