- The Contact Center Specialist role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements. This role will utilize multiple internal systems to assist with overall patient billing needs.
- The Contact Center Specialist role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements. This role will utilize multiple internal systems to assist with overall patient billing needs.
- The shift will be 3 PM – 12 AM IST.
- The Business Analyst, Implementations will work closely with both client IT teams and internal technical teams to acquire, configure, and integrate healthcare data for revenue cycle management projects. This role involves data mapping, building data parsers, and ensuring internal systems are customized to meet client requirements. The ideal candidate will bridge functional and technical needs, ensuring seamless data flow and successful project delivery.
- The Contact Center Specialist role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements. This role will utilize multiple internal systems to assist with overall patient billing needs.
- The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website
- The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website
- We are seeking a driven and experienced Director, Technology Services to lead our team in the successful execution of new onboarding. As a key member of our leadership team, you will be responsible for overseeing all aspects of the implementation process, from client onboarding to project completion. You will play a pivotal role in ensuring smooth transitions for new clients and expansion of existing clients, while fostering a collaborative and supportive environment for your team.
- The Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
- We are seeking a highly organized and motivated professional to fulfill the role of Workforce Management Administrator for our Contact Center. The ideal candidate should be focused on improving productivity, reducing labor costs, and improving customer service. The Workforce Management Administrator will work closely with the Contact Center’s leadership team to help identify and correct issues as they arise. This professional will be responsible for all WFM tasks and supporting the business by identifying key insights relating to the Contact Center. Key responsibilities will include attendance and scheduling functions, monitoring real-time schedule adherence, and preparing and distributing reports.
- As the Manager QA for Coding and Prebill, you will lead a team responsible for ensuring the accuracy and compliance of coding practices and prebill audits within the revenue cycle management process. Your primary focus will be on maintaining coding integrity, optimizing revenue capture, and minimizing compliance risks through rigorous quality assurance measures. You will collaborate closely with coding specialists, billing teams, and other stakeholders to drive continuous improvement and uphold the highest standards of quality in revenue cycle operations.
- Under administrative direction, the Director, Coding plans, administers, and directs the Coding Department
- The Administrator Assistant will provide support to managers, other employees, and office visitors by handling a wide range of administrative and office support activities for the department and/or managers and supervisors to ensure that all interactions between the organization and others are positive and productive.
- The Customer Service Specialist role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements. This role will utilize multiple internal systems to assist with overall patient billing needs.
- The Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
- The healthcare Intake QA Specialist is responsible for ensuring the accuracy and compliance of healthcare insurance and demographic information within a healthcare organization. This role involves conducting quality assurance audits, identifying discrepancies, and implementing corrective measures to enhance data integrity and regulatory compliance.
- 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...
- The Charge Entry Quality Assurance (QA) Specialist is responsible for ensuring accuracy and compliance in the charge entry process within the revenue cycle management department. This role involves reviewing, validating, and auditing charge entries to maintain high standards of data integrity, billing accuracy, and regulatory compliance. The QA Specialist collaborates closely with billing staff, coding professionals, and other stakeholders to identify and address discrepancies, errors, and process inefficiencies. Additionally, the QA Specialist may contribute to training initiatives and process improvement projects aimed at enhancing charge entry practices.
- The Associate Director, Cash Management is responsible for overseeing and managing the Payment related functions such as payment posting, refunds, credits, reconciliation, month end activities etc. This role is critical in ensuring timely and accurate maintenance of patient accounts, ensuring transactions are posted in a timely manner and turnaround times for various activities are strictly adhered to.
- Located either at our Chennai, Hyderabad, or Coimbatore Service Delivery Centers (SDC). If not located at the colleague SDC then monthly travel is required.
- The Associate Director, Cash Management is responsible for overseeing and managing the Payment related functions such as payment posting, refunds, credits, reconciliation, month end activities etc. This role is critical in ensuring timely and accurate maintenance of patient accounts, ensuring transactions are posted in a timely manner and turnaround times for various activities are strictly adhered to.
- Located either at our Chennai, Hyderabad, or Coimbatore Service Delivery Centers (SDC). If not located at the colleague SDC then monthly travel is required.
- The Associate Director, Account Receivable will oversee the management and optimization of Account Receivables, ensuring, efficient collections, and compliance with healthcare regulations. This role will collaborate with cross-functional teams to drive revenue growth and enhance operational efficiencies.
- Located either at our Chennai, Hyderabad, or Coimbatore Service Delivery Centers (SDC). If not located at the colleague SDC then monthly travel is required.
- The Associate Director, Account Receivable will oversee the management and optimization of Account Receivables, ensuring, efficient collections, and compliance with healthcare regulations. This role will collaborate with cross-functional teams to drive revenue growth and enhance operational efficiencies.
- Located either at our Chennai, Hyderabad, or Coimbatore Service Delivery Centers (SDC). If not located at the colleague SDC then monthly travel is required.
- The Associate Director, Account Receivable will oversee the management and optimization of Account Receivables, ensuring, efficient collections, and compliance with healthcare regulations. This role will collaborate with cross-functional teams to drive revenue growth and enhance operational efficiencies.
- Located either at our Chennai, Hyderabad, or Coimbatore Service Delivery Centers (SDC). If not located at the colleague SDC then monthly travel is required.
- The Senior Manager, Accounts Receivable, will provide strategic leadership and oversee the operations of the AR department. You will be responsible for driving operational efficiency, optimizing revenue cycle management, and ensuring accurate and timely billing and reimbursement for services. This role requires a deep understanding of healthcare revenue cycle management, strong leadership skills, and the ability to navigate complex regulatory environments.
- The Senior Manager, Accounts Receivable, will provide strategic leadership and oversee the operations of the AR department. You will be responsible for driving operational efficiency, optimizing revenue cycle management, and ensuring accurate and timely billing and reimbursement for services. This role requires a deep understanding of healthcare revenue cycle management, strong leadership skills, and the ability to navigate complex regulatory environments.
- The Lead Engineer, Integrations is primarily responsible for onboarding new clients/facilities via projects and working workflow improvement projects for existing clients/facilities. Resolves interface and system issues, advises on the appropriate action, and ensures applied remedy corrects the issue. Collaborates with hospital IT departments for onboarding new clients.
- The RCM (Revenue Cycle Management) Refund QA (Quality Assurance) Specialist, your primary responsibility is to ensure accuracy and compliance in the refund processes within the healthcare revenue cycle. You will play a crucial role in reviewing and validating refund transactions to guarantee adherence to industry standards, regulations, and organizational policies. This role requires a meticulous eye for detail, strong analytical skills, and a comprehensive understanding of healthcare billing and reimbursement.
- The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution.
- The Assistant Manager, Quality Assurance - Revenue Cycle Management will support the Quality Manager in overseeing the quality assurance processes within the revenue cycle management department. This role is pivotal in ensuring that all processes are compliant with regulatory standards and optimized for efficiency and accuracy. The Assistant Manager will collaborate with various teams to identify areas for improvement, implement quality control measures, and provide training to enhance overall performance.
- The Senior Manager, Accounts Receivable, will provide strategic leadership and oversee the operations of the AR department. You will be responsible for driving operational efficiency, optimizing revenue cycle management, and ensuring accurate and timely billing and reimbursement for services. This role requires a deep understanding of healthcare revenue cycle management, strong leadership skills, and the ability to navigate complex regulatory environments.
- The Senior Director, Revenue Cycle Management (“Director, RCM”) oversees operational processes, employee and administrative functions related to their specific assigned location. Works closely with management to provide leadership to the team responsible for the revenue cycle services for the company. This position ensures client satisfaction by executing the strategic business plan while leading the team that supports Ventra Health’s clients.
- The Supervisor, Process Audit plays a crucial role in ensuring the accuracy and compliance of medical coding processes within a healthcare organization. This position involves overseeing and leading a team of medical coders, conducting quality assurance audits, providing feedback, and implementing improvement strategies to enhance coding accuracy and efficiency.
- Ventra Health, a leading business solutions provider for facility-based physicians, is seeking a highly skilled and experienced .NET Core Lead Developer to join our dynamic and innovative team. We are transforming the Healthcare Revenue Cycle landscape through cutting-edge technology and forward-thinking solutions. We are looking for a visionary leader with a deep passion for building scalable microservices and leveraging the power of Azure to help drive our mission forward.
- As a...
- Ventra Health, a leading business solutions provider for facility-based physicians, is seeking a dedicated Senior .NET Core Developer to join our dynamic and innovative team, where we are transforming the Healthcare Revenue Cycle landscape through cutting-edge technology and forward-thinking solutions. We are looking for a talented Senior .NET Core Developer with a passion for building scalable microservices and leveraging the power of Azure to help drive our mission forward.
- As a Senior .NET Core Developer, you will play a pivotal role in designing, developing, and deploying high-performance microservices that power our Automation and AI platforms. You will work closely with cross-functional teams to...
- The Assistant Manager, Medical Coding is responsible for overseeing and managing a team of medical coders, ensuring accurate and timely coding of medical services. This role is critical in ensuring accurate reimbursement and compliance with coding regulations.
- The Medical Supervisor, Coding plays a crucial role and must have a strong background in medical coding and billing, with expertise in identifying and resolving coding-related suspends. This position involves overseeing and leading a team of medical coding suspends specialists, responsible for reviewing and resolving coding-related suspends to ensure accurate and timely claim submission and reimbursement.
- The Insurance Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.
- The Supervisor, Coding Quality Assurance plays a crucial role in ensuring the accuracy and compliance of medical coding processes within a healthcare organization. This position involves overseeing and leading a team of medical coders, conducting quality assurance audits, providing feedback, and implementing improvement strategies to enhance coding accuracy and efficiency.
- The Provider Education Support is responsible for generating reports and, when instructed, identifying changes in coding and documentation trends. Under the guidance of the Director, Provider Education, the Provider Education Support will evaluate medical records for documentation deficiencies and potential missed charges. Findings will be recorded, tracked, and reported to the Director or Senior Education Specialist. This is not a client or patient-facing/interacting position.
- As an IT Network & IT Infrastructure, you will play a crucial role in managing and optimizing our organization's IT infrastructure for Coimbatore. You will be responsible for overseeing the implementation, maintenance, and enhancement of the Coimbatore network systems. This position involves working closely with internal teams, providing support, and coordinating with vendors to ensure seamless operations.
- The Manager, Contact Center is responsible for the for the daily operations of the Contact Call Center.
- We are seeking a knowledgeable and experienced individual to join our team as a Medical Coding Trainer. The ideal candidate will have a deep understanding of medical coding principles, particularly within the context of the US healthcare system. This role involves developing and delivering training programs to equip medical coding professionals with the necessary skills and knowledge to excel in their roles.
- We are seeking a knowledgeable and experienced individual to join our team as a Cash Management Trainer. The ideal candidate will have a deep understanding of monetary intake principles, particularly within the context of the US healthcare system and revenue cycle management. This role involves developing and delivering training programs to equip payment posting specialists, refunds and credits specialists, and bank reconciliation specialists with the necessary skills and knowledge to excel in their roles.
- The Customer Service Quality Analyst Specialist is responsible for monitoring and auditing Customer Service Specialists regarding customer service performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Customer Service and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Call Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- The Customer Service Quality Analyst Specialist is responsible for monitoring and auditing Customer Service Specialists regarding customer service performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Customer Service and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Call Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- The Medical Supervisor, Coding Suspends plays a crucial role and must have a strong background in medical coding and billing, with expertise in identifying and resolving coding-related suspends. This position involves overseeing and leading a team of medical coding suspends specialists, responsible for reviewing and resolving coding-related suspends to ensure accurate and timely claim submission and reimbursement.
- The Bank Reconciliation Specialist will be responsible for creating a client deposit by scanning checks to the client’s bank and organizing resulting deposits with all checks and EOBs into a package to be scanned for the posting team.
- We are looking for a meticulous and technically proficient individual to join our team as an Electronic Data Interchange (EDI) Support QA Specialist. This role focuses on providing exceptional support to ensure the smooth operation of our EDI systems while maintaining high standards of data quality and accuracy. The ideal candidate will have a strong background in EDI protocols, excellent problem-solving abilities, and a commitment to delivering superior customer service.
- Requires ~3 days onsite at our Clark, Philippines Service Delivery Center.
- The Manager, Compliance will enhance Ventra’s compliance program and will be responsible for providing oversight and support of Ventra’s compliance policies, procedures, training programs and controls to help ensure the company’s compliance with applicable laws and regulations.
- The Supervisor, Coding Denials manages the daily operations of the coding denials and appeals team. This position must maintain an awareness of payer guidelines and updates. Develops strategies to optimize staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback.
