Teams at WVU Medicine

Manage patient account balances by submitting accurate claims, resolving claim edits and denials, following up with third-party payers, reconciling billing transactions, maintaining productivity, ensuring HIPAA compliance, and providing customer service to maximize cash collections.

Design and build BI solutions and dashboards, perform data analysis and SQL development, apply data governance and security, and lead requirements gathering and project coordination to drive process improvement and reporting accuracy across the health system.

Supports pharmacy financial and operational efficiency through 340B program analysis, accounting coordination, billing validation, budget variance monitoring, reconciliation, forecasting, and reporting. Reviews medication purchases, contract pharmacy activity, pricing, invoices, inventory, and savings opportunities. Maintains financial records, supports audits, identifies irregularities, promotes compliance, and provides recommendations to pharmacy leadership. The role also contributes to performance improvement, policy documentation, system integrity, and education regarding split billing, split matching, and contract pharmacy processes.