Correspondence Specialist

Ventra Health, Inc.; Mabalacat; On-site; PHP 279,000 - 390,600; Full time

Benefits offered by this job

Discretionary incentive bonus

Job summary

Ventra Health, Inc. is looking for a Correspondence Specialist in Pampanga, Mabalacat. The role involves researching and handling incoming correspondence, primarily related to claim rejections and billing issues. Candidates should have customer service experience, ideally in a healthcare setting.

The ideal applicant will demonstrate strong communication, organizational, and time management skills, and will work effectively in a fast-paced environment while managing multiple priorities.

Qualifications

• One year of customer service experience, preferably in healthcare.
• Ability to handle escalated calls and correspondence.
• Strong mathematical skills for computations.

Responsibilities

• Research and handle incoming correspondence.
• Resolve patient billing issues.
• Evaluate and acknowledge incoming concerns.

Skills

Knowledge of Explanation of Benefits

Knowledge of insurance plans

Knowledge of ICD-10 and CPT Codes

Strong communication skills

Strong time management skills

Strong organizational skills

Education

High School Diploma or Equivalent

Tools

Word processing software

Spreadsheet software

Database software

Presentation software

Job description

Job Summary

The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.

Essential Functions and Tasks

• Works in a variety of work queues servicing multiple clients on claim rejections, duplicate claims, records, and bills.
• Resolves patient billing issues.
• Explains policies and procedures clearly and concisely. Research, resolves, and documents incoming correspondence.
• Evaluates incoming concerns and returns acknowledgement in the appropriate medium (email, telephone, etc.).
• Performs special projects and other duties as assigned.

Education and Experience Requirements

• High School Diploma or Equivalent.
• One (1) year of customer service experience in a high volume, fast paced environment; healthcare customer service experience preferred.

Knowledge, Skills, and Abilities

• Knowledge of the Explanation of Benefits.
• Knowledge of a variety of insurance plans.
• Knowledge of ICD-10 and CPT Codes.
• Strong word processing, spreadsheet, database, and presentation software skills.
• Strong mathematical skills in addition, subtraction, multiplication, and division of whole numbers and fractions; computing percentages; and working with decimals.
• Strong oral, written, and interpersonal communication skills.
• Strong time management skills.
• Strong organizational skills.
• Ability to handle and resolve escalated calls and correspondence.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to remain flexible and work within a collaborative and fast paced environment.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

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 incentive bonus in accordance with company policies.

Equal Employment Opportunity

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.

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.