Charge Processing QA Specialist

• Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

• The Charge Processing Quality Assurance (QA) Specialist plays a crucial role in ensuring the accuracy, completeness, and integrity of patient demographic data within the revenue cycle management department. This position involves reviewing, auditing, and validating patient demographic information entered in the system to facilitate timely and accurate billing processes. The QA Specialist collaborates closely with registration staff, billing personnel, and other stakeholders to identify and rectify discrepancies, errors, and inefficiencies in demographic data entry. Additionally, the QA Specialist may contribute to training initiatives and process improvement projects aimed at enhancing demographic data quality and operational efficiency.

Quality Assurance:

• Conduct regular audits of patient demographic data to verify accuracy, completeness, and consistency across systems and platforms.
• Review demographic information entered during patient registration or intake processes to ensure compliance with established standards and protocols.
• Identify discrepancies, inconsistencies, and errors in demographic data entry and take appropriate corrective actions to resolve issues.
• Maintain detailed records of audit findings, corrective actions, and trends to support continuous improvement efforts.

Compliance Monitoring:

• Stay informed about relevant healthcare regulations, privacy laws, and industry standards related to patient demographic data management.
• Perform periodic reviews to ensure compliance with regulatory requirements, including HIPAA regulations and patient privacy policies.
• Collaborate with compliance officers and privacy specialists to address compliance concerns and implement necessary safeguards.

Training and Education:

• Develop and deliver training materials and resources to educate registration staff and other stakeholders on best practices for capturing and documenting patient demographic information.
• Provide guidance and support to registration personnel regarding data entry standards, verification procedures, and quality assurance protocols.
• Offer feedback and coaching to enhance the skills and competencies of staff members involved in demographic data management.

Process Improvement:

• Identify opportunities to streamline demographic data entry workflows, improve data capture processes, and enhance system interoperability.
• Collaborate with cross-functional teams to implement process improvements, technology solutions, and quality control measures.
• Analyze key performance indicators (KPIs) and performance metrics related to demographic data quality to identify areas for improvement and optimization.

• Bachelor's degree in any related field (or equivalent work experience).
• Minimum of 2-3 years of experience in revenue cycle management, healthcare administration, or a related field.

• Strong understanding of patient registration processes, demographic data elements, and data entry standards.
• Excellent attention to detail and accuracy in reviewing and validating patient demographic information.
• Knowledge of healthcare regulations, privacy laws, and compliance requirements related to patient data management (e.g., HIPAA).
• Effective communication skills with the ability to collaborate across multidisciplinary teams.
• Experience with electronic health record (EHR) systems, registration software, and revenue cycle management tools.
• Ability to prioritize tasks, manage time efficiently, and meet deadlines in a fast-paced environment.
• Commitment to maintaining confidentiality and integrity in handling sensitive patient information.

Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
 
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
 
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Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
 
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.