Charge Entry Capture Specialist

Ventra Health; Morong; On-site; PHP 201,000 - 312,000; Full time

Job summary

Ventra Health is seeking a Charge Entry Specialist to input, verify, and submit data with accuracy. The role includes researching missing reports, monitoring AIMS for issues, and identifying data trends to ensure clean billing cycles.

The position requires a high school diploma and at least one year of medical billing experience, plus familiarity with medical terminology, coding, and third-party reimbursement processes.

Qualifications

• High school diploma or equivalent.
• At least 1 year of medical billing experience.
• Knowledge of medical terminology and coding.
• Understanding of third-party billing and reimbursement processes.

Responsibilities

• Perform manual charge entry of charges received.
• Maintains the rebilling of unbilled claims.
• Work HCFA Review per specifications.
• Correct errors after posting.
• Work charge posting exceptions.
• Actively researches time of service and charge logs.
• Performs monthly manual or electronic charge verification research.
• Research, entry, and mapping of referring physicians.
• Requesting missing reports from multiple contacts and/or accessing remote systems for missing information.
• Monitoring internal AIMS site for potential charge issues with the client.

Skills

Medical Billing

Medical Coding

Communication Skills

Time Management

Education

High school diploma or equivalent

Tools

Outlook

Word

Excel (Pivot)

Database software

Job description

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.

Job Summary

• The Charge Entry Specialist is responsible for the inputting and verification of data, correction of erroneous data and submission. They are also responsible for the inputting and verification of data, correction of erroneous data and submission. Responsibilities also include conducting research missing reports, monitoring AIMS for potential issues and identifying trends in missing data.

Essential Functions And Tasks

• Perform manual charge entry of charges received.
• Maintains the rebilling of unbilled claims.
• Work HCFA Review per specifications.
• Correct errors after posting.
• Work charge posting exceptions.
• Actively researches time of service and charge logs.
• Performs monthly manual or electronic charge verification research.
• Research, entry, and mapping of referring physicians.
• Requesting missing reports from multiple contacts and/or accessing remote systems for missing information.
• Monitoring internal AIMS site for potential charge issues with the client.

Education And Experience Requirements

• High school diploma or equivalent required.
• At least one year of medical billing experience required.
• Knowledgeable of medical terminology, medical coding.
• Knowledge of third-party billing and reimbursement processes.

Knowledge, Skills, And Abilities

• 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.
• Basic use of computer, telephone, internet, copier, fax, and scanner.
• Basic touch 10 key skills.
• Basic Math skills.
• Understand and comply with company policies and procedures.
• Strong oral, written, and interpersonal communication skills.
• Strong time management and organizational skills.
• Strong problem-solving skills.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation

• Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons .
• This position is also eligible for a discretionary incentiv e bon us in accordance with company policies .

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 [e-mail] 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/.