- 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 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 Trainer, Service Delivery at Ventra plays a vital role in onboarding new Ventra colleagues and educating our service delivery teams on processes required to serve our clients. The Trainer is responsible for delivering and assisting with the training programs that will improve the effectiveness and success of our colleagues. The Trainer will conduct regular training activities for new and existing colleagues to ensure ongoing excellence in our service delivery.
- 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 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 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 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 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 Supervisor, Pre-Bill should have strong knowledge of US Healthcare insurance and have expertise in correcting eligibility denials using different insurance portals. This role includes guiding the team on their daily work and monitoring employee performance to ensure maximum productivity and accuracy.
- 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.
- We are seeking a dedicated and experienced Healthcare RCM Supervisor, Accounts Receivable, to oversee our accounts receivable department. The ideal candidate will possess strong leadership skills, a comprehensive understanding of healthcare revenue cycle management, and a proven track record of optimizing accounts receivable processes. The Supervisor will be responsible for managing a team of AR specialists, ensuring timely and accurate billing, claims processing, payment posting, and denial management.
- 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 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 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 Supervisor is responsible for the for supervising the daily operations of the Customer Service Department
- 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...
- 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...
- The Data Engineer works independently, and collaboratively, to elicit requirements and create specifications. They then design, architect, and implement complex and visually compelling reporting and business intelligence (BI) solutions (data visualizations, extract-transform-load (ETL), ad hoc querying, etc.).
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The individual in this position interfaces with various functional teams to support the data solution delivery. They proactively identify needs or issues, develop strategies, and propose/implement technical and process solutions. The Data Engineer leads complex or specialized projects and will grow to become a subject matter expert with responsibility for mentoring and...
- Ventra Health is seeking a skilled Data Analyst to help answer tough questions with data. The mission of the Data Analytics and Automation team is to partner with the business units to provide tools for data-driven decisions through data visualization and reporting, statistical analysis, machine learning and automation.
- As a Ventra Health Solution Architect, you will play a critical role in designing and implementing technology solutions that meet the complex needs of healthcare organizations. You will collaborate with stakeholders across clinical, operational, and technical domains to translate business requirements into scalable, secure, and efficient IT solutions.
- 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.
- Seasoned Director of Revenue Cycle Management for Radiology with over 15 years of experience in optimizing revenue cycles within the US healthcare industry. Proven track record in enhancing revenue performance, improving operational efficiency, and leading cross-functional teams to exceed organizational goals. Expertise in regulatory compliance, payer relations, and strategic planning to drive financial performance and operational excellence.
- 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 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 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 dedicated and experienced Healthcare RCM Supervisor, Accounts Receivable, to oversee our accounts receivable department. The ideal candidate will possess strong leadership skills, a comprehensive understanding of healthcare revenue cycle management, and a proven track record of optimizing accounts receivable processes. The Supervisor will be responsible for managing a team of AR specialists, ensuring timely and accurate billing, claims processing, payment posting, and denial management.
- 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 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 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 Administrative Assistant welcomes visitors by greeting them, in person or on the telephone, and answering or referring inquiries. This position directs and instructs visitors by maintaining employee and department directories. This position also maintains security by following procedures, monitoring logbook, and issuing visitor badges
- Do you thrive on building efficient, accurate billing processes? Are you a detail-oriented problem-solver with a knack for scripting and automation? If so, then we want you on our team!
- We are seeking a talented Technology Implementation Developer to join our growing team. In this role, you will play a key part in developing and maintaining the technical foundation for our billing workflow. You'll utilize your scripting skills and process expertise to streamline operations and ensure flawless billing for our clients.
- 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 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 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 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 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 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.
- We are seeking a dedicated and experienced Healthcare RCM Supervisor, Accounts Receivable, to oversee our accounts receivable department. The ideal candidate will possess strong leadership skills, a comprehensive understanding of healthcare revenue cycle management, and a proven track record of optimizing accounts receivable processes. The Supervisor will be responsible for managing a team of AR specialists, ensuring timely and accurate billing, claims processing, payment posting, and denial management.
- 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 Coding Specialist is responsible for reviewing documents pertaining to anesthesia encounters 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 auditor should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.
- The Coding Specialist is responsible for reviewing documents pertaining to anesthesia encounters 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 auditor should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.
- 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, Compliance will enhance Ventra Health, Inc.’s (“Ventra”) compliance program and will be responsible for providing oversight and support of Ventra’s compliance policies, procedures, training programs, and controls in India to help ensure compliance with applicable laws, regulations, and Ventra’s enterprise compliance program.
- The Manager, Customer Service is responsible for the for the daily operations of the Customer Service 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...
