Patient Account Rep - Moorestown at Virta Health

Moorestown, New Jersey, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

1-3 years experience in billing, collections, registration, or related hospital/office environment
One year of Epic system experience highly preferred
Fast, accurate data entry skills
Good organizational skills and attention to detail
Ability to work in a fast-paced environment
Excellent customer service and interpersonal skills
PC literate with working knowledge of Microsoft Office applications (Word, Excel, Access)

Responsibilities

Identifies items to be billed by procedure and services performed
Obtains necessary documentation for billing and obtains pre-certifications
Enters all charges and submits bills in accordance with Patient Accounting policy
Posts payments, performs daily reconciliations, produces daily census, and performs month-end close
Maintains data in billing management system (updating current and adding new demographic information) and ensures documentation is accurate and complete
Analyzes, identifies, and trends billing issues to proactively reduce denials and variances
Works system-generated reports such as residual balance, credits, no-pay
Reports and resolves variances and inefficiencies, escalating accounts as necessary
Interacts/communicates effectively with department staff and assists with customer service inquiries (internally and externally); acts as liaison with Patient Accounting, Physician billing services, employers, and insurance carriers
Maintains open communication with management regarding billing and coding issues, including documentation, denials/appeals
Follows up on assigned insurances monthly and maintains records of declined claims requiring appeals
Obtains required billing information/documentation (pre-certifications, codes, insurance information) and enters into database
Identifies and resolves denied claims, escalating accounts as necessary to ensure timely payment
Assists customers with billing questions
Prepares and maintains billing and related reports

Skills

Key technologies and capabilities for this role

billingaccount collectionsclaims processinginsurance verificationpre-certificationsmedical codingdenied claims resolutiondata entry

Questions & Answers

Common questions about this position

Is this position remote or on-site?

This is an on-site position located in Moorestown at 401 Young Ave.

What are the main responsibilities of this role?

The role involves accurate and timely billing and account collections, obtaining billing information and pre-certifications, entering charges, posting payments, resolving denied claims, and assisting customers with billing questions.

What skills are needed for the Patient Account Rep position?

Key skills include accurate data entry into billing systems, analyzing and resolving billing issues and denied claims, obtaining pre-certifications and documentation, and effective customer communication.

What is the work schedule for this job?

It is a full-time position with 40 total weekly hours on the 1st shift.

What makes a strong candidate for this Patient Account Rep role?

Strong candidates will have experience in billing, claims resolution, data management in billing systems, and proactive problem-solving to reduce denials, along with effective communication skills.

Virta Health

Reverses type 2 diabetes through personalized care

About Virta Health

Virta Health focuses on reversing type 2 diabetes through a combination of personalized nutrition, continuous remote care, and behavioral science. Their treatment is designed for individuals diagnosed with type 2 diabetes, healthcare providers, and enterprise partners like employers and health plans. Unlike many competitors, Virta Health operates on a performance-based model, meaning they only receive payment if they achieve successful outcomes for their patients. This aligns their financial incentives with patient health improvements. The company's goal is to reverse type 2 diabetes in 100 million people, making their approach not just about managing diabetes but actively working towards its reversal.

Denver, ColoradoHeadquarters

2014Year Founded

$362.8MTotal Funding

SERIES_ECompany Stage

Biotechnology, HealthcareIndustries

501-1,000Employees

Benefits

Remote-first work environment

Flexible work hours & time off policy

Health insurance

Paid parental leave

Free Virta treatment & family discount

Internet, home office, learning & development stipends

Employee resource groups

401K & ROTH contribution

Risks

Increased competition in diabetes reversal could threaten Virta's market share.

Rising popularity of GLP-1 medications may divert clients from Virta's approach.

Regulatory changes in GLP-1 prescriptions could impact Virta's business model.

Differentiation

Virta Health offers a medication-free approach to reversing type 2 diabetes.

Their performance-based model aligns financial incentives with patient outcomes.

Virta's continuous remote care platform provides personalized nutrition and behavioral support.

Upsides

Virta Health has achieved over $100M in annualized revenue with sustainable weight loss solutions.

Partnerships with major payers like U-Haul enhance Virta's market reach and credibility.

Growing skepticism about GLP-1 medications boosts demand for Virta's alternative treatments.

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