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- The Provider Education Support is responsible for running reports and, when instructed, identifying changes in coding and documentation trends. Under the direction 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.
- The Manager, Contact Center is responsible for the for the daily operations of the Contact Call Center.
- 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 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...
- This position requires quarterly travel to our India Service Delivery Centers.
- The Business Intelligence Architect is responsible for expanding Ventra’s use of data as a strategic enabler of corporate goals and objectives. The architect acts as the primary advocate of data governance and data management best practices to ensure all data is defined and used consistently across all lines of business. This individual also acts as the primary advocate of data modeling methodologies best practices, by strategically reviewing and creating data models for enterprise-level applications and systems.
- They will work collaboratively with both the Emergency Medicine...
- 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.
- Supervise MIPS processes and QA staff to ensure proper functions across multiple medical coding applications and multi-MIPS specialties.
- Supervise MIPS processes and QA staff to ensure proper functions across multiple medical coding applications and multi-MIPS specialties.
- 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 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.
- 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 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.
- We are seeking an experienced Senior Software Developer with a high-level knowledge of C# and SQL to provide development and design expertise as well as technical support, troubleshooting assistance and development for our production systems. The successful candidate will be responsible for monitoring, diagnosing, and resolving issues in our production environments to ensure smooth and efficient operations.
- We are seeking a detail-oriented and experienced individual to join our team as a Revenue Cycle Process Audit Specialist in US healthcare. In this role, you will be responsible for conducting audits and reviews of various revenue cycle processes to ensure accuracy, efficiency, and compliance with healthcare regulations and billing guidelines. Your primary focus will be on identifying areas for improvement and implementing best practices to optimize revenue performance.
- As a Supervisor, Pre-Claim Quality Assurance, your role involves overseeing a team responsible for maintaining the accuracy and efficiency of demo (demographic) data entry and charge entry processes within a healthcare organization's revenue cycle management.
- 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.
- The Systems Engineer is primarily responsible for maintaining a reliable, secure, and efficient data communications network. This position also deploys, configures, maintains, and monitors all active equipment, both virtual and physical, to ensure smooth operations. This includes overseeing all servers and supporting all IT systems including but not limited to Citrix, Azure, Active Directory, Office 365, and any management tools the IT team or business units use
