What are the responsibilities and job description for the Patient Account Representative, Charge Review position at Virginia Heart?

Patient Account Representative, Charge Review

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!

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.

The Patient Account Representative - Charge Review is responsible for frequent review of charges in the appropriate Charge Work Queues, to ensure accuracy and timely release of charges, in a manner consistent with Virginia Heart’s mission of excellence in cardiovascular care.

Roles and Responsibilities :

Responsible for understanding the requirements of various insurance carriers regarding prior authorizations and / or referrals.

Responsible for Nuclear / PET / CT report review to assign / verify accurate charging.

Regular communication with Manager of Nuclear Cardiology and Cardiovascular PET / CT regarding study reports.

Responsible for updating all Nuclear and PET / CT charges as needed, to ensure accuracy and prompt payment.

Responsible for assisting in other Charge work queues as needed, to help meet department deadlines.

Responsible for timely review and working of claims in assigned Follow Up work queues.

Appeal denials via website portal, telephone, or correspondence.

Communicates with patients / families regarding coverage and payment issues.

Assist with Customer Service phone queue as needed.

Demonstrates professionalism and maintains excellent communication in all interactions with payers, patients, vendors, and fellow employees to create a positive experience.

Performs other duties as assigned by Manager, Assistant Manager or Team Lead.

Skill Requirements and Qualifications :

High School Diploma or equivalent required.

Knowledge of CPT and ICD-10 CM coding criteria and guidelines preferred (cardiology preferred)

Proficiency in Microsoft Excel and Word required.

EPIC experience preferred.

Minimum of 1-year direct experience in healthcare billing (office, hospital, or physician practice) required.

Knowledge of third-party payers required.

Must possess the ability to work under pressure and communicate with Manager, Assistant Manager or Team Lead about changes or concerns.

Must possess excellent time management abilities and excellent verbal and written communication skills.

Precision and accuracy in work is required.

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Patient Account Representative, Charge Review

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