Supervisor, Data Verification

Requisition ID 2025-4983
Location Listed on Requisition Posting : Address 2
Philexcel Business Center 16
Location Listed on Requisition Posting : City
Clark
Location Status
Onsite
Segment
Radiology Segment
Work Shift Time Zone
Philippine Time

About Us

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, 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.

  • Come Join Our Team!
    • As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards.

  • Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary

  • The Supervisor, Data Verification, is responsible for overseeing the eligibility status of patient visits and ensuring the proper payer is billed. 

Essential Functions and Tasks

  • Process tasks in Imagine (software) in the eligibility queue.
  • Accept/reject changes based on feedback from PHIcure eligibility responses.
  • Retrieves patient insurance information from payer website portals.
  • Performs insurance research to determine if the insurance plan presented is bill worth (actual insurance).
  • Rebills claims in Imagine.
  • Download documents from facility EMR systems.
  • Upload documents into Imagine.
  • Locate patient insurance information from Electronic Medical Records (EMR) systems.
  • Review colleague EMR access forms for completeness
  • Submit EMR access forms for processing
  • Assist colleagues in verifying newly provided EMR credentials
  • Create SOP
  • QA colleague work for accurateness
  • Open various IT tickets for colleague needs with the client
  • Interact with IT to ensure timely processing of colleague needs
  • Review colleague performance for annual reviews
  • Manage and assign work queue to colleagues from Imagine software
  • Bring ideas for process improvement to management
  • Reviewing data for needed tags in Imagine ensuring claim is sent to proper payer
  • Insurance review to determine where a claim should be filed
  • Maintain SmartSheet list of information (client/location) 

Education and Experience Requirements

  • High School Diploma or GED
  • At least one (1) year of experience handling patient health information and/or medical records preferred 

Knowledge, Skills, and Abilities

  • Working knowledge of medical terminology, anatomy and physiology, legal aspects of protected health information
  • Knowledge of Electronic Medical Records (EMRs) such as Cerner, Meditech, Epic, PICIS
  • Smartsheet
  • Strong critical thinking skills
  • Strong organizational skills
  • Strong time management skills
  • Strong word processing, spreadsheet, and presentation software skills
  • Strong oral, written, and interpersonal communication skills
  • Ability to take initiative and effectively troubleshoot while focusing on innovative solutions
  • Ability to read, understand, and apply state/federal laws, regulations, and policies
  • Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately
  • Ability to remain flexible and work within a collaborative and fast paced environment
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner
  • Performs special projects and other duties as assigned 

Compensation

  • Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. 
  • This position is also eligible for a discretionary incentive bonus in accordance with company policies. 

Ventra Health

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.
 
Solicitation of Payment
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/. 

 

Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

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