- 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 Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures. Monitor the quantity and accuracy of activities performed by subordinate staff. Development of work plans, develop and maintain performance standards associated with various functions. Expert knowledge and independent application of state and federal regulations governing healthcare. A high degree of applied knowledge of provider enrollment nuances. Staff training and assisting staff to resolve complex provider enrollment issues. Perform deep-dive audits of specific accounts, payers, or the work performed by an...
- The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.
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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 Trainer at Ventra plays a vital role in onboarding new Ventra colleagues specific to the Provider Enrollment function and educating them on processes required to serve our clients. The Trainer is responsible for delivering and assisting with the training programs that will allow colleagues to enroll physicians with payors, and research and resolve enrollment issues. The Trainer will conduct regular training activities for new and existing colleagues to ensure ongoing excellence within Provider Enrollment.
- The Supervisor, Chart Research is primarily responsible for their respective internal departments within Chart Research, ensuring the team is working efficiently and correctly while maintaining schedules, employee relations and continuing to improve the department workflow.
- 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 Chart Research Specialist is responsible for review of medical records for the necessary documents for proper indexing.
- The Contact Center Quality Analyst Specialist is responsible for monitoring and auditing Contact Center Specialists regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the Contact Center department.
- 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
- The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures. Monitor the quantity and accuracy of activities performed by subordinate staff. Development of work plans, develop and maintain performance standards associated with various functions. Expert knowledge and independent application of state and federal regulations governing healthcare. A high degree of applied knowledge of provider enrollment nuances. Staff training and assisting staff to resolve complex provider enrollment issues. Perform deep-dive audits of specific accounts, payers, or the work performed by an...
- The Payment Posting Specialist is responsible for the monetary intake for Ventra Health clients. The Payment Posting Specialist may be assigned between 13 -14 facilities/clients that they will be responsible for maintaining our 6 days turnaround time. Posts all deposits for current month by our month end deadline. Payment posting 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 Ventra Health clients throughout the country.
- The Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- The Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- The Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- The Manager, Front End, will assist the Supervisor, Front End, with the execution of daily operations. They will work along with the Supervisor in planning and organizing team objectives and goals. Delegating tasks and responsibilities to team members, monitoring team performance and providing feedback. They will also be the main contact of our US Leaders regarding any concerns in the Front End Tasks.
- The Supervisor, Correspondence will be responsible for the Correspondence Department. The Supervisor, Correspondence must be available on a day-to-day basis to answer questions from Correspondence Specialists, take higher level account issues, and educate their team members on new company policies and changes to existing policies. The Supervisor, Correspondence will continuously mentor and train Correspondence Specialists as well as monitor inventory and keep track of all metrics.
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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 Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management.
- The Demographic Entry Specialist is responsibility is to create and maintain patient accounts. Accurately input patient details, insurance information, guarantor details and employer information into the designated software or system.
- 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 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 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 Demo Entry Quality Assurance (QA) Specialist is responsible for ensuring the accuracy, completeness, and compliance of patient demographic data entered into the system as part of the revenue cycle management process. This role involves auditing demographic entries, validating data against source documents, and ensuring alignment with payer requirements and internal standards. The QA Specialist works closely with registration teams, billing staff, and compliance personnel to identify and correct errors, support training initiatives, and drive continuous improvement in data quality and workflow efficiency.
- The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.
- 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 Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management.
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The Charge Entry Specialist is responsible for the inputting and verification of data, correction of erroneous data and submission. They...
- We are seeking a highly motivated and detail-oriented Supervisor, Front End Data Validation to lead a dedicated team responsible for validating insurance data, monitoring mapping accuracy and continuously improving data validation processes for our Radiology business unit. The ideal candidate will combine strong leadership skills with a deep understanding of insurance data structures and quality assurance methodologies to drive operational excellence.
- As a Pre-Bill Quality Assurance (QA) Specialist, you will play a crucial role in ensuring the accuracy and integrity of patient demographic data and charge entry within the healthcare system. Your responsibilities will include meticulous data entry, thorough quality assurance checks, and adherence to regulatory standards to support the efficiency and reliability of healthcare billing processes.
- 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 Manager, Correspondence and Collections is responsible for the for the daily operations of both teams and Mailroom.
- The Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- 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 deploying high-performance microservices that power our Automation and AI platforms. You will work closely with cross-functional teams to ensure the scalability,...
- The Contact Center Quality Analyst Specialist Bilingual is responsible for monitoring and auditing Contact Center Specialist Bilingual regarding contact center performance, as well as to review and track all call center internal processes and procedures. Works with the Manager, Contact Center and/or supervisors to diagnose issues. Responsible for identifying and recommending coaching opportunities for Supervisor, Contact Center and documents and recommends process changes identified. Reports regularly on call performance of the CSS department.
- 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.
- 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:
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- 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,...
- We are seeking a detail-oriented and technically proficient Data Analyst – Implementations to join our growing healthcare technology team. This role is instrumental in integrating various healthcare datasets from external sources into our proprietary billing system to support and enhance Revenue Cycle Management (RCM) workflows. The ideal candidate will analyze incoming data samples, map them to our standard internal data specifications, and develop robust, maintainable data parsers using multiple programming languages. A strong understanding of the U.S. healthcare ecosystem, especially in revenue cycle processes, is highly desirable.
- The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.
- 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 Manager, Chart Research is primarily responsible for the daily operations as well as future strategy of the Chart Research Department.
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The Charge Entry Specialist is responsible for the inputting and verification of data, correction of erroneous data and submission. They...
- As a Talent Acquisition (TA) Specialist at Ventra Health, you will work alongside the TA Leader and provide full cycle recruiting for various segments within the enterprise. Manage a portfolio of positions that range from individual contributor to professional level. This position also builds and manages relationships across various segments, develops robust candidate pipelines, and as part of the TA team, facilitates the hiring/onboarding process.
- The EDI Enrollment Specialist is responsible for the setup, verification, and maintenance of provider and facility enrollments in clearinghouses (e.g., Athena, PhiCure) for electronic claims (EDI), remittance advice (ERA), and electronic fund transfers (EFT). This role ensures accurate enrollment tracking, monitors pending approvals and signatures, and resolves enrollment-related escalations, such as missing ERA remits or rejected EDI claims.
- The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures. Monitor the quantity and accuracy of activities performed by subordinate staff. Development of work plans, develop and maintain performance standards associated with various functions. Expert knowledge and independent application of state and federal regulations governing healthcare. A high degree of applied knowledge of provider enrollment nuances. Staff training and assisting staff to resolve complex provider enrollment issues. Perform deep-dive audits of specific accounts, payers, or the work performed by an...
