Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Manages Provider Enrollment Department operations; recruits, selects, orients, trains, coaches, counsels, and disciplines staff. Plans, monitors, appraises, and reviews staff job contributions. Implements cross functional training and succession planning as allowable.
Develops relationship with clients and provides regular status updates on the credentialing process on a regular basis.
Coordinates with client leadership and credentialing staff as necessary to obtain documents and additional information necessary to complete enrollment process.
Holds monthly (or as warranted) meetings with all levels of management to review held claims and address concerns.
Reports major issues to MGA leadership and makes aware of potential threats/opportunities.
Develops policies, guidelines, and implements procedures and ensures consistent department-wide implementation. Enhances and standardizes work-flow processes throughout the enrollment cycle to assist in achieving consistency and success.
Monitors timeliness and effectiveness of department activities.
Compiles and prepares a variety of reports for management in order to analyze trends and make recommendations.
Conducts regular meetings with the team and provides suggestions for improvement and decision support
Protects and safeguards company and patient information and reports suspicious activity to management.
Performs special projects and other duties as assigned.
High School diploma or equivalent.
Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred.
At least two (2) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions.
At least one (1) year of supervisory/management/leadership experience preferred.
Experience with CAQH database, NPI website and maintaining EDI, EFT, and ERA processes preferred.
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.
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