Manager, Intake

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.

• The Manager, Intake is responsible for the daily Intake operations.  Supervises employee production for the precoding insurance and demographics exceptions team and Front End workflows production support team.  Manages work queues, workload, timely receipt of files from facilities and clients, colleagues meeting quota, shifts work assignments based on priorities and absences, and ensures client closing month end deadlines are met

• Manages Front End Workflow production support, Intake exception and Crosswalk & Insurance Maintenance operations; recruits, selects, orients, trains, coaches, counsels, and disciplines colleagues.  Plans, monitors, appraises, and reviews  colleagues job contributions. Implements cross functional training and succession planning as allowable
• Tracks, maintains, and monitors  colleagues metrics. Tracks trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements with the goal of not having to manually touch files or exceptions.
• Participate in implementations, issue resolution and application programming, as needed for new and existing clients
• Finds patterns and maps insurance for all new and existing facilities within system
• Provide feedback on HL7 & flat file demographic data that creates exceptions
• Reduces daily exceptions in active facilities by reviewing Insurance crosswalk code
• Participates in development and delivery of  colleague QA training courses and materials
• Conducts Quality Assurance (QA) on new and existing Crosswalk and exceptions
• Monitors team email activity to ensure clients/facility contacts get prompt, accurate service.  Interjects where needed and guides colleagues on missed emails or responses that are inappropriate.
• Responsible to ensure SmartSheets are kept up to date with accurate facility workflow information.
• Uses SQL to dig into datasets to uncover trends that need correcting in data feeds
• Closely monitors system (Horizon), specifically the Intake Workflow Queue and Intake Reconciliation pages for gaps in data we need to chase down.
• Hosts/attends meetings to obtain missing data timely (time sensitive task)
• Responds to PST alerts in HubSpot
• Collaborates with fellow colleagues on the Centricity side of the EM/HM Division to find root cause of what Horizon is sending CB that does not yield a clean claim.  Specifically, potential bad crosswalks or incorrect user actions that need to be corrected.  Serves as host for such meetings and create triages for asks for changes and/or rules to be added to ensure data hits Centricity clean.
• Ensures compliance with Close of Business (COB) rule, Workers’ Compensation (WC) and auto laws as they relate to insurance billing
• Performs special projects and other duties as assigned

• High School Diploma or GED
• At least two (2) years of experience handling patient health information and/or medical records preferred
• At least six (6) months of supervisory/leadership experience preferred

• Strong follow up skills using tools such as Outlook, SmartSheets, and Hubspot.
• Working knowledge of the front-end process for each facility
• Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information
• Knowledge of different files: log, demographics, medical records
• Ability to read, understand, and apply state/federal laws, regulations, and policies
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner
• Ability to remain flexible and work within a collaborative and fast paced environment
• Ability to deliver high quality service excellence with high attention to detail
• Understand and comply with company policies and procedures
• Strong oral, written, and interpersonal communication skills
• Strong time management, organizational, and decision-making skills
• Strong knowledge of Outlook, Smartsheet, Excel, and database software skills

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/. 

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