Intake & Insurance Data Specialist

globalcareers-ventrahealth; Mabalacat; On-site; PHP 2,375,000 - 3,375,000; Full time

Job summary

Ventra Health seeks an Intake Exceptions Specialist to enter and maintain insurance and patient demographics at the encounter level, with system-level duties for experienced incumbents. You will research, validate, and update crosswalks and insurance data while ensuring accuracy and compliance in a fast-paced setting.

The role emphasizes reviewing volumes, cross walking opportunities, and delivering high-quality service. A base requirement is a high school diploma with some billing experience.

Qualifications

• High School Diploma or GED.
• At least six (6) months of experience with insurance/professional medical billing preferred.

Responsibilities

• Reviews demographics pulled from hospital system and assigns insurance plans to each patient chart.
• Enters all patient information accurately prior to chart being coded.
• Corrects errors based on insurance billing requirements.
• Adds and maintains insurance information within system through proper research.
• Identifies ‘Red Flag’ issues and provides proper research to deliver a solution.
• Performs internet research to determine insurance presented is legitimate.

Skills

Insurance data entry

Demographics accuracy

Research skills

Communication skills

Time management

Team collaboration

Education

High School Diploma or GED

Tools

Outlook

Smartsheet

Excel

Database software

Job description

Ventra Health seeks an Intake Exceptions Specialist to enter and maintain insurance and patient demographics at the encounter level, with system-level duties for experienced incumbents. You will research, validate, and update crosswalks and insurance data while ensuring accuracy and compliance in a fast-paced setting.

The role emphasizes reviewing volumes, cross walking opportunities, and delivering high-quality service. A base requirement is a high school diploma with some billing experience.