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- The shift will be 8am – 5pm Pacific Time.
- 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 Medical Coding Escalation Specialist is responsible for handling complex coding issues, resolving coding-related escalations, and providing expert-level support to the medical coding team. This role involves conducting thorough reviews of medical records, ensuring accurate code assignment, and serving as a liaison between coders, auditors, providers, and compliance teams. The specialist ensures coding practices adhere to regulatory requirements, payer policies, and internal standards.
- The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.
- The Pre-Bill Escalation Specialist is responsible for the first steps in the billing process. Daily assignments are provided by the Team and the Pre-Bill Specialist must develop a plan to complete work lists by the end of each day. The Pre-Bill Specialists 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 Director, Client Success is responsible for overseeing and ensuring that Manager, Client Success maintain and develop a strong and long-term relationship with clients. This role will also include overseeing that relative operational and business services departments are on track for their clients and monitor and assess CRM Performance and activity on assigned clients, escalating issues/concerns, as appropriate.
- The Medical Coding Escalation Specialist is responsible for handling complex coding issues, resolving coding-related escalations, and providing expert-level support to the medical coding team. This role involves conducting thorough reviews of medical records, ensuring accurate code assignment, and serving as a liaison between coders, auditors, providers, and compliance teams. The specialist ensures coding practices adhere to regulatory requirements, payer policies, and internal standards.
- The Escalation Specialist is responsible for responding to and handling complaints and escalations from patients and clients as it relates to account balances and payments. They must seek ways to determine appropriate courses of action, conduct investigative steps to resolve issues, and communicate with their manager promptly for updates and resolution of such escalations. They are also responsible for completing special projects for escalated clients per the advisory of their manager and must maintain the deadline provided for given projects. The Escalation Specialist will be expected to perform all payment posting activities within the company systems and assist the department in day-to-day posting duties. The Escalation Specialist is also...
- The Medical Coding Escalation Specialist is responsible for handling complex coding issues, resolving coding-related escalations, and providing expert-level support to the medical coding team. This role involves conducting thorough reviews of medical records, ensuring accurate code assignment, and serving as a liaison between coders, auditors, providers, and compliance teams. The specialist ensures coding practices adhere to regulatory requirements, payer policies, and internal standards.
- The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution.
- The Payment Escalation Specialist is responsible for performing the initial steps in the payment posting process. Daily assignments are provided by the supervisor, and the specialist must develop a plan to complete assigned worklists by the end of each day. The Payment Escalation Specialist must comply with applicable billing standards and operate effectively in a team-oriented environment, delivering superior service to providers across the country.
- The Pre-Bill Escalation Specialist is responsible for the first steps in the billing process. Daily assignments are provided by the Team and the Pre-Bill Specialist must develop a plan to complete work lists by the end of each day. The Pre-Bill Specialists 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 Payment Posting Escalation Specialist is responsible for resolving the day-to-day escalation or clarification requests, answer questions as well as assist with audits, training, and with higher level account issues.
- 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 Manager, Client Success is a liaison between Ventra Health and clients in terms of communication and information exchange; manage all aspects of the clients’ account to maximize collections, provide contracted management services, where applicable, and minimize problems. Works directly with a variety of stakeholders, including patients, doctors, owners, practice managers, administrators, and more to resolve escalated issues
- The Intake Reconciliation Analyst is responsible for resolving discrepancies in their assigned division of billing systems. The Intake Reconciliation Analyst is expected to perform regular audits on assigned clients to ensure all records have been processed for billing.
- The Provider Education Specialist position reviews provider documentation on an ongoing basis and provides feedback for practitioners on areas to improve.
- 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.
Manager, Financial Analysis (ESD Support – RCM Operations)
We are seeking a Manager, Financial Analysis to provide critical analytical support to our Enterprise Service Delivery (ESD) team, which drives operational excellence across our Revenue Cycle Management (RCM) operations. This role will be deeply embedded with the ESD function, helping to transform data into insights and actions that improve performance, efficiency, and accountability.
- The Manager, Client Success is a liaison between Ventra Health and clients in terms of communication and information exchange; manage all aspects of the clients’ account to maximize collections, provide contracted management services, where applicable, and minimize problems. Works directly with a variety of stakeholders, including patients, doctors, owners, practice managers, administrators, and more to resolve escalated issues
- The Manager, Revenue Cycle is responsible for the management of the accounts receivable (“AR”) of Ventra Health's clients. This person works closely with the Director, Revenue Cycle Management (“Director, RCM”) in overseeing operational processes, personnel, and administrative functions in order to provide superior AR management services. This position ensures client satisfaction by executing the strategic business plan while leading their team
