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Location: Falls Church, VA

Status: Full-Time/Non-Exempt

Salary Range: $20.00 - $25.00

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.

We offer great benefits!

• Comprehensive benefits package with low premiums (Medical, dental and vision)
• Life insurance of 50K covered by Virginia Heart, with option to purchase additional
• 401K pension plan based on profit and a percentage of salary
• Paid Short Term Disability with optional long-term insurance available for purchase
• Employee assistance program for mental and physical well-being
• Up to 28 days paid time off, with accrual of 1 additional vacation day per year through year 10
• Annual merit-based increases
• Employee Appreciation Events, includes therapy dogs, raffles, other fun rewards
• Career Advancement Opportunities
• Employee Referral Bonus
• Semi-annual employee surveys
• Employee Discount Programs
• Flexible spending accounts, pretax dollars for health and dependent care
• Employee Committee Opportunities (e.g., Diversity/ Inclusion, Employee Advisory Committee)
• No nights, no weekends, no holidays and no on-calls!
• Set shifts and schedules

POSITION SUMMARY:

The Pre-Authorization Specialist provides support to the office manager, physicians, billing, clinical staff, referring physicians, and most importantly, the patient. The Pre-Authorization Specialist must have a high level of customer service and accuracy, ability to meet the high expectations for teamwork across the company, and exceed expecations to meet co-worker and patient needs. This position can be on-site, remote or hybrid.

RESPONSIBILITIES:

• Manage all aspects of obtaining Pre-Authorization prior to patient procedures (in office, hopsital and external imaging)
• Work as a team within the department, with other Virginia Heart departments (Patient Services, Billing, Hospital Scheduling, Office Managers, and physicians), and referring offices
• Request medical records within Virginia Heart, from referring offices, and surrounding hospitals
• Contact insurance companies via phone and insurance web based systems
• Verify patients insurance and relay proper CPT codes/Diagnosis codes to insurance companies for Pre-Authorization approval and/or Referrals
• Act as a liaison between insurance companies, Virginia Heart physicians, and patients (peer-to-peer process)
• Responsible for answering phones in a courteous, timely, and professional manner
• Demonstrate professionalism in all intereacts with patients, vendors and fellow employees to create a positive experience

REQUIREMENTS:

• High School or GED Equivalent required
• Prior Pre-Authorization experience required
• Minimum of 1 year experience in a fast paced customer service related field
• Knowledge of insurance carriers, carrier websites, coverage policies and benefits
• Knowledge of Microsoft Office is a must
• Experience with EPIC preferred

This job description in no way states or implies that these are the only job duties to be performed by the employee occupying this position. Employee may be required to follow other job-related instructions and to perform other job-related duties as requested, subject to all federal, state, and municipal laws.