Patient Account Representative, Follow-Up

Location: Falls Church, Fairfax, VA

Status: Full-Time/Non-Exempt

Are you looking for new career opportunities, great wages, excellent benefits, and work-life balance? Follow your heart to Virginia Heart!

At Virginia Heart, we are looking for a professional Patient Account Representative - Follow-Up who will be responsible for following up with insurance carriers and/or patients to collect payment for services rendered. 

When you work with Virginia Heart, you will enjoy a dedicated and experienced staff, competitive wages, excellent benefits and the following rewards and incentives:

• No Nights, weekends, or holidays!
• Affordable Medical, Dental and Vision plans
• 401(k) Retirement Plan
• Paid Short-Term Disability
• Employee Assistance Program for Mental and Physical well-being
• Three Weeks of Paid Vacation upon eligibility
• One week of Paid Sick Leave
• Annual Merit-Based increases
• Career Advancement Opportunities
• Employee Referral Bonuses
• Employee Discount Programs
• Quarterly Employee Appreciation Events to include therapy dogs, raffles, and other fun events.

Virginia Heart is Northern Virginia's premier cardiovascular practice, bringing an unparalleled standard of excellence to our patients. We are seeking experienced professionals to join our team in our outpatient cardiology setting. Every employee, at every level, begins their journey at Virginia Heart learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it. 

Roles and Responsibilities: 

• Responsible for reviewing claims in queue that are outstanding in a timely manner. 
• Appeals denials via website portal, telephone, or correspondence. 
• Communicates with patients/families regarding coverage and payment issues. 
• Demonstrates professionalism and maintains excellent communication in all interactions with payers, patients, vendors, and fellow employees to create a positive experience. 
• Responsible for answering phones in a courteous, professional, and timely manner.
• Accesses appropriate system/services to confirm accurate billing questions. 
• Provides friendly and efficient telephone services to patients, Virginia Heart staff and others calling the billing line.
• Expresses sincere concern and empathy when dealing with patient complaints.
• Transfers calls as appropriate. 
• Documents and updates insurance companies.
• Exudes confidence on the telephone fostering reassurance for our patients. 
• Responsible for resolving queries in an accurate, timely and courteous manner.
• Investigates problem accounts in practice management system utilizing additional resources as needed.
• Correct accounts as needed and provide resolution to patient or office staff as needed.
• Recognizes when a problem needs to be elevated for resolution and involves others to problem solve. 
• Performs other duties as assigned by Manager, Assistant Manager or Team Leads.  

Skill Requirements and Qualifications:

• High School Diploma or equivalent required 
• CPT and ICD-10 CM coding criteria and guidelines preferred (preferably in cardiology) 
• Proficient in Microsoft Excel and Word required 
• EPIC experience preferred 
• Minimum of 1-year direct experience in healthcare billing and claims management (office, hospital, or physician practice) required 
• Knowledge of third-party payers required 
• Ability to read EOB and explain definition of out of pocket, deductible, co-insurance 
• Must possess excellent time management abilities and excellent verbal and written communication skills 
• Precision and accuracy in work is required 

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