- 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
- Under direct supervision, the Client Success Specialist conducts regular reviews of the service and cash collections for client, identifies problems, and proposes and implements solutions
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The Charge Entry Specialist is responsible for the inputting and verification of data, correction of erroneous data and submission. They...
- 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 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 Accounts Receivable Recovery Analyst will be responsible for managing all data activities associated to work allocation, daily deliverables, payroll, attendance, incentives, variable pay. Track all data related to efficiency occupancy and utilization and report to business unit leaders.
- The Provider Education Support position reviews provider documentation on an ongoing basis and provides feedback for practitioners on areas to improve
- The Refund Escalation Specialist is responsible for the monitoring and resolving Credit balances and refunds from billing system’s overages. Daily assignments are provided by the supervisor and the Refund Escalation Specialist must develop a plan to complete work lists by the end of each day. The Refund Escalation Specialists must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to our providers throughout the country.
- The Manager, Correspondence and Collections is responsible for the for the daily operations of both teams and Mailroom.
- The Manager, Quality Assurance is responsible for auditing internal and external processes, specifically for medical claims and anesthesia procedures, on behalf of an organization. Their goal is to ensure that every medical information entered into the system meets a certain set of standards determined and based on the client’s requirements, ensuring consistent quality work is delivered to the client.
- The Pre-Bill Specialist is responsible for the first steps in the billing process. The Pre-Bill Specialists are assigned a set of edits, and they are responsible for ensuring that all claims are released to the payors and move through the front-end workflow within Ventra’s set standards. The Pre-Bill Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to our providers throughout the country.
- 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 Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.
- 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 Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.
- We are seeking a highly skilled and experienced Healthcare Accounts Receivable (AR) Trainer to join our team. The ideal candidate will have a strong background in healthcare revenue cycle management, with expertise in accounts receivable processes. The Healthcare AR Trainer will be responsible for developing and delivering training programs to ensure that our staff are equipped with the necessary knowledge and skills to effectively manage healthcare AR processes.
- 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 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 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 Desktop Support Specialist will serve as the initial, and escalation, point of contact for telephone and email inquiries for the company’s software applications, hardware, printers, video conference, and remote technologies. The position will provide onsite and remote system and application support to users on a regular basis and occasional after-hours and emergency requests.
- 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 Medical Billing Specialists are responsible for organizing and maintaining patient health information. They sort and maintain patient medical data and history of treatment for various uses such as insurance reimbursement and inclusion in databases and registries. Medical Billing Specialists ensure health information is accessible but also secure from unnecessary access.
- The Chart Research Specialist is responsible for review of medical records for the necessary documents for proper indexing.
- The Pre-Bill Specialist is responsible for the first steps in the billing process. The Pre-Bill Specialists are assigned a set of edits, and they are responsible for ensuring that all claims are released to the payors and move through the front-end workflow within Ventra’s set standards. The Pre-Bill Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to our providers throughout the country.
- Ventra Health, a leading business solutions provider for facility-based physicians, is seeking a dedicated .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 .NET Core Developer with a passion for building scalable microservices and leveraging the power of Azure to help drive our mission forward.
- As a .NET Core Developer, you will play a pivotal role in designing, developing, and...
- 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 Process Optimization Specialist to drive operational excellence within our Revenue Cycle Management (RCM) organization. This role focuses on identifying, analyzing, and implementing process improvements to enhance efficiency, reduce costs, and improve overall performance. The ideal candidate will possess a strong analytical mindset, a collaborative approach, and a passion for continuous improvement.
- 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 Supervisor, Contact Center is responsible for the for supervising the daily operations of the Contact Center Department.
- The Labor Relations Specialist is the frontline responder to workplace issues who handles day-to-day employee concerns, conducts investigations into complaints, and supports the development and implementation of policies.
- Ventra is seeking a highly motivated and detail-oriented Intern Compensation Analyst to support our Associate Director, Compensation during the 2025 merit review cycle. This is an excellent opportunity for a student or recent graduate to gain hands-on experience in compensation analysis and global HR operations. The intern will contribute to consolidating, organizing, and analyzing data from the US, Philippines, and India markets.
- The Quality Assurance Engineer will bring comprehensive quality testing expertise to a growing and innovative organization, designing and documenting testing scenarios, creating test plans, and reviewing quality specifications and technical design for both existing and new analytics products. The QA Engineer will be an integral part of our growing analytics product team, working with new technology in both manual and automation testing environments.
- The Quality Assurance Engineer will design testing procedures to ensure our analytics meets established quality standards using best practices and industry standard practices. Develops and writes testing scripts to ensure our analytics perform as...
- The Senior Quality Assurance Engineer will bring comprehensive quality testing expertise to a growing and innovative organization, designing and documenting testing scenarios, creating test plans, and reviewing quality specifications and technical design for both existing and new analytics products. The Sr. QA Engineer will be an integral part of our growing analytics product team, working with new technology in both manual and automation testing environments.
- The Sr. Quality Assurance Engineer will design testing procedures to ensure our analytics meets established quality standards using best practices and industry standard practices. Develops and writes testing scripts to ensure our analytics...
- The Manager, Client Success is a liaison between Ventra Health and clients in terms of communication and information exchange; manage all aspects of the clients’ account to maximize collections, provide contracted management services, where applicable, and minimize problems. Works directly with a variety of stakeholders, including patients, doctors, owners, practice managers, administrators, and more to resolve escalated issues
- We are seeking a highly skilled Senior Database Administrator (DBA) with a strong focus on SQL to manage and optimize our organization’s database systems.
- The ideal candidate will have in-depth knowledge of database management, performance tuning, and ensuring high availability and security for mission-critical systems.
- As a Senior DBA, you will work closely with the IT infrastructure and development teams to ensure database efficiency and scalability while providing support for database design, backups, and disaster recovery planning.
- Ventra Health, a leading business solutions provider for facility-based physicians, is seeking a dedicated Business Analyst professional specializing in AI & Automation to join our dynamic team. This role focuses on leveraging AI and UiPath to optimize business processes through automation. The ideal candidate will possess a strong analytical mindset, a keen eye for detail, and the ability to ensure quality across automation initiatives. You will work closely with stakeholders to gather requirements, design automation solutions, and validate their efficacy in enhancing operational efficiency.
What you will be doing:
- In this role,...
- The Assistant Manager, Talent Acquisition (TA), plays a pivotal role in Ventra’s growth by effectively sourcing, attracting, and selecting top-tier talent for Technology & Data department, Business Support, and Service Delivery leadership positions. The Assistant Manager, TA will support the Talent Acquisition team in all aspects from job requisition to candidate onboarding. The Assistant Manager, TA will collaborate closely with hiring managers, HR partners, and candidates to ensure a smooth and efficient recruitment process.
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The Director, Technology Services (Infrastructure) will oversee all infrastructure and technical operations in Clark, Philippines. This role will be responsible for managing a team of desktop support professionals and ensuring the smooth operation of systems, networks, and security protocols. The Director will collaborate with global teams, provide strategic direction, and ensure that technology services align with the company’s business goals. This position requires strong leadership skills, a flexible attitude towards shift work, and the ability to manage complex technical environments.
- The Supervisor, Labor Relations, is responsible for assisting with the proper implementation of all labor disputes of employees based on acceptable company standards, and employee engagements.
- 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.
- 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.
- 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 Company Nurse is a qualified Occupational Health Personnel who provides occupational health services to colleagues, responsible for developing and implementing health and safety programs, assessing health risks, in addition to the prevention and treatment of illness or injury.
- The Company Nurse should promote good health among colleagues, keeping health records, and maintaining good communication with company management regarding healthcare and safety issues.
