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- As a Supervisor, Payment Posting, your role encompasses overseeing a team responsible for maintaining the accuracy and efficiency of cash posting and credit processes within a healthcare organization's revenue cycle management.
- 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 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 Senior Compliance Specialist is a key figure in upholding Ventra Health’s commitment to compliance and works closely with the Manager, Compliance. This role involves researching, developing, implementing, and enforcing standards for compliance; reviewing, revising, and drafting enterprise policies and procedures; leading investigations; educating staff; and offering guidance on compliance-related matters. The specialist works collaboratively across various departments to ensure the organization’s compliance framework is robust and effective.
- Do you have a passion for innovation and a proven track record of leading high-performing teams? Are you excited about the potential of automation and AI to transform businesses? If so, then we want to hear from you!
- We are seeking a visionary and strategic Senior Director, Automation & Artificial Intelligence, to lead our company's journey towards greater efficiency and intelligence. In this role, you will be responsible for developing and executing a comprehensive automation and AI strategy that identifies opportunities, drives innovation, and delivers tangible business value.
- The Document Escalation Scanner is responsible for organizing and scanning all charge and payment batches into the system for each divisional client.
- This position requires knowledge and experience in IDX, for modules BAR, TES, ETM and the Payer Contract Module. Candidate must work well with others and have communication skills to interact with other departments to determine requirements for system setup and changes. Candidate should have overall experience of the Athena IDX applications DBMS, Cache SQL, Dictionaries, BAR, TES, 837 claims, 835 remit setup and posting, and HL7 Interfaces.
- Under direct supervision, manage and design techniques to complex computer systems with multiple users, to produce innovative solutions for a variety of complex problems. Gathers information from users, defines work problems, and plans projects to enable analysts and...
- The Bank Reconciliation Escalation Specialist is responsible for the first steps in the billing process for the electronic or paper lock boxes. Daily assignments are provided by the supervisor and the Bank Reconciliation Specialist must develop a plan to complete work lists by the end of each day. The Bank Reconciliation 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 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 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 Senior 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. This position is responsible for more advanced level work with all implementations and Group Level enrollments
- 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, Provider Enrollment is primarily responsible for overseeing the Provider Enrollment Department.
- 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 Managed Care Contracting Specialist analyzes and negotiates contractual language; negotiates reimbursement with managed care plans; communicates with payers and clients regarding managed care negotiations and managed care strategy; provides regular feedback to MGA Executive leadership and Client Success team regarding contracting status. Maintains contract files and contract systems
- 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 Refund Escalation Specialist is responsible for the monitoring and resolving Credit balances and refunds from billing system’s overages. Daily assignments are provided by the supervisor and the Refund Escalation Specialist must develop a plan to complete work lists by the end of each day. The Refund Escalation 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 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 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 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
