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- 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 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 Contact Center 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 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 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 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 Vice President of Provider Enrollment is a strategic leadership role responsible for overseeing Ventra Health’s enterprise payer enrollment operations. This position directs a global team (US, Philippines and India based), including five direct reports, ensuring the seamless delivery of provider/payer enrollment services. The role focuses on driving...
- The Provider Education Specialist position reviews provider documentation on an ongoing basis and provides feedback for practitioners on areas to improve.
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 Bank Recon Escalation Specialist is responsible for resolving the day-to-day escalations or clarification requests, Answer questions as well as assist with audits, training, and with higher level account issues.
- The Vice President, Client Success is responsible for the development and management of services provided, ensuring that the delivery of programs, projects and the account financials meet or exceed the expectations of Ventra Health and clients. This position also monitors and improves client satisfaction, program efficiency, program growth, expansion of services, risk management, and compliance.
Facilitates resolution of contract variances and other contract discrepancies. Communicates with payers and other departments within the organization regarding managed care projects. Provides regular feedback to Client Services, Posting, and Call Center teams regarding
- The Bank Recon Escalation Specialist is responsible for resolving the day-to-day escalations or clarification requests, Answer questions as well as assist with audits, training, and with higher level account issues.
- 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 Coding Specialist, Interventional Radiology (IR) is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist IR must ensure the encounters have been coded correctly based on documents received. The Coding Specialist IR must ensure encounters are coded using the most current coding guidelines. The Coding Specialist IR should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly.
Reports to: Accounting Manager
- We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager, Coding. This role requires a deep understanding of medical coding practices, regulations, and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities, exceptional organizational skills, and a commitment to maintaining high standards of accuracy and compliance.
