WVU Medicine

Partner with leadership to drive HR best practices including talent assessment, succession planning, and employee engagement. | Bachelor's degree with 5+ years experience or Master's with 3+ years, strong labor law knowledge, and consulting experience with senior management. | Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Partner with departmental leadership to develop, drive and execute HR best practice policies, programs and training in the areas of change management, talent assessment, career development, employee retention, succession planning, workforce planning and employee engagement. MINIMUM QUALIFICATIONS: EDUCATION AND EXPERIENCE 1. Master’s degree in Human Resources, Business Administration, Industrial Relations or related field and three (3) years of professional Human Resources experience with emphasis in an HR generalist role OR Bachelor’s degree in Human Resources, Business Administration, Industrial Relations or related field and five (5) years of professional Human Resources experience with emphasis in an HR generalist role. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Professional Human Resources (PHR) or Senior Professional in Human Resources (SPHR) certification and/or SHRM-CP and SHRM-SCP certification. EXPERIENCE: 1. Strong HR generalist experience with an emphasis in workforce and succession planning, compensation, change management and/or retention programs. 2. Demonstrated success in consulting effectively with senior level management and influencing business unit leaders. 3. Recent work experience in a healthcare setting. CORE DUTIES AND RESPONSIBILITIES: As an advocate for employees, company and departmental goals and initiatives, demonstrate knowledge of management and employee needs and apply that knowledge to create solutions. 1. Formulate partnerships across assigned departments to deliver value added service to management and employees that reflects the business objectives of the organization. · Attend department meetings to better understand the activities occurring in the business. · Serve as an advisor to the leadership team by providing insight, coaching and HR related solutions to functional and business leaders in the effective management and development of their employees. · Serve as a change agent to assist in successful change management of each business/service line. 2. Drive talent growth initiatives throughout the organization through talent assessment model and career development. 3. Lead workforce planning initiatives through the facilitation of talent planning. · Manages, communicates, and supports framework. · Provides data and reporting for current state analysis. · Reviews gap analysis and determines action plans to close the gaps. · Implements and monitors action plans. · Assists with executive sponsorship. 4. Partner with leaders to deliver succession and replacement planning programs. · Maintains up to date knowledge on latest human resource replacement and succession planning issues and best practices. · Develops, recommends, reviews, and updates replacement and succession planning relates policies and procedures. · Provides leadership training on replacement and succession planning tools, best practices, and processes. · Researches and implements replacement and succession planning for critical and key positions. · Defines criteria to identify critical and key positions for initial development of replacement and succession plans. · Facilitates talent reviews and replacement and succession planning discussions with leadership. · Facilitates replacement and succession plan development. · Assists in designing, implementing and managing talent development programs in collaboration with the Center for Education and Organizational Development (CEOD) team. · Creates and coordinates reports to monitor replacement and succession plans and overall effectiveness. · Monitors and verifies the integrity of replacement and succession plan data in the Human Resources Information System (HRIS). Reviews and recommends enhancements to the replacement and succession planning processes and set-up in the HRIS. 5. Research, develop and partner with leadership to implement employee retention strategies and programs. · Conduct exit interviews and report trends. · Conduct employee and management focus groups and analyze trends to assist in meaningful development of dept. improvements. 6. Facilitate ideas and strategies to promote a healthy employee engagement. · Assist management in reviewing and understanding employee engagement survey results. · Partner with management to foster a positive culture that creates an inspiring employee engagement environment. 7. Works regularly with HR disciplines including but not limited to compensation, benefits, employee relations, CEOD, and disability management. 8. Assists in the administration of local audits. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Extended periods of sitting. 2. Extended periods of computer usage. 3. Required to walk to various areas throughout the departments or medical complex. This may require the use of elevators and/or stairs. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard, high volume office environment. SKILLS AND ABILITIES: 1. Must have and maintain a working knowledge of federal and state labor laws related to all aspects of human resources. 2. Must have an ability to organize and prioritize multiple projects. 3. Must have and demonstrate an ability to communicate both orally and in writing in a clear and concise manner. 4. Must have strong analytical and problem solving skills. 5. Must have ability to maintain high level of confidentiality. 6. Must have the ability to interface with management and employees at all levels of the organization. Additional Job Description: THIS IS NOT A REMOTE POSITION. IT IS ANTICIPATED THE SUCCESSFUL CANDIDATE WILL BE ONSITE AT LEAST THREE DAYS PER WEEK. Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: WH Wheeling Hospital Inc. Cost Center: 560 WH HR Address: 1 Medical Park Drive Wheeling West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. Thank you for your interest in working for WVUM. Please explore our open opportunities in the list below and apply for any positions in which you would like to be considered. You'll be able to keep track of your progress on our site. The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.

Manage patient account balances, submit accurate claims, resolve unpaid claims with third party payers, prioritize daily tasks, and maintain compliance with billing regulations. | High school diploma, at least 1 year medical billing experience, strong communication skills, computer literacy, and preferred knowledge of medical terminology and coding. | Description: • Responsible for managing patient account balances including accurate claim submission • Complies with Notices of Privacy Practices and follows all HIPAA regulations • Contacts third party payers to resolve unpaid claims • Organizes and executes daily tasks in appropriate priority • Gathers statistics, completes reports and performs other duties as scheduled or requested • Develops and maintains working knowledge of all federal, state, and local regulations pertaining to professional billing Requirements: • High School diploma or equivalent • One (1) year medical billing/medical office experience • Excellent oral and written communication skills • Working knowledge of computers • Knowledge of medical terminology preferred • Knowledge of business math preferred • Knowledge of ICD-10 and CPT coding processes preferred • Ability to understand written and oral communication Benefits: • Professional development opportunities • Health insurance • Flexible working arrangements

The Insurance Specialist is responsible for ensuring all appointments and procedures are authorized, verifying coverage and benefit limitations, and minimizing reimbursement errors. They will also assist with denial management and communicate financial information to patients. | Candidates must have a high school diploma or equivalent and preferably previous insurance authorization experience. A state criminal background check is required, and knowledge of medical terminology and coding is beneficial. | Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. This position responsible for assuring all appointments and procedures are authorized. Insurance carriers are contacted to verify coverage and benefit limitations, tests and procedures are pre-authorized and scheduled, deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection. Responsible for minimizing reimbursement errors resulting from inaccuracy of referral and enrollment information. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school diploma or equivalent. 2. State criminal background check and Federal (if applicable), as required for regulated areas. PREFERRED QUALIFICATIONS: EXPERIENCE: 1. Previous insurance authorization experience. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department. 2. Follows up on accounts as indicated by system flags. 3. Contacts insurance company or employer to determine eligibility and benefits for requested services. 4. Follows up with the patient, insurance company or provider if there are insurance coverage issues in order to obtain financial resolution. 5. Use work queues within the EPIC system for scheduling, transition of care, and billing edits. 6. Performs medical necessity screening as required by third party payors. 7. Documents referrals/authorization/certification numbers in the EPIC system. 8. Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions. 9. Communicates with the patient the anticipated self-pay portion co-payments/deductibles/co-insurance, and account balance refers self-pay, patients with limited or exhausted benefits to the in-house Financial Counselors to determine eligibility. 10. Assists Patient Financial Services with denial management issues and will appeal denials based on medical necessity as needed. 11. Communicates problems hindering workflow to management in a timely manner. 12. Assesses all self-pay patients for potential public assistance through registration/billing systems Provides self-pay/under-insured patients with financial counseling information. Maintains current knowledge of major payor payment provisions. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Prolonged periods of sitting. 2. Extended periods on the telephone requiring clarity of hearing and speaking. 3. Manual dexterity required to operate standard office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. SKILLS AND ABILITIES: 1. Excellent oral and written communication skills. 2. Basic knowledge of medical terminology. 3. Basic knowledge of ICD-10 and CPT coding, third party payors, and business math. 4. General knowledge of time of service collection procedures. 5. Excellent customer service and telephone etiquette. 6. Minimum typing speed of 25 works per minute. 7. Must have reading and comprehension ability. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WH Wheeling Hospital Inc. Cost Center: 8107 WH Pain Management Bellaire Health Center Address: 1 Medical Park Drive Wheeling West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. Thank you for your interest in working for WVUM. Please explore our open opportunities in the list below and apply for any positions in which you would like to be considered. You'll be able to keep track of your progress on our site. The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals – including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children’s Hospital in Morgantown, West Virginia – and five institutes. To learn more, visit WVUMedicine.org.