Intake & Insurance Data Specialist

Ventra Health; Philippines; On-site; PHP 279,000 - 424,000; Full time

Job summary

Ventra Health in the Philippines seeks an Intake Exceptions Specialist to accurately enter and maintain insurance and patient demographic information at the encounter level, with system-wide responsibilities at level II.

You will review demographics, assign insurance plans, verify data before coding, conduct research, and support major department projects. The role emphasizes accuracy, attention to detail, and collaboration in a fast-paced environment; prior billing experience is preferred.

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 any errors based on insurance billing requirements.
• Adds and maintains insurance information within system through proper research.
• Identifies any ‘Red Flag’ issues and provides proper research to deliver a solution.
• Provides support for any major projects within department.
• Performs internet research to determine insurance presented is legitimate.
• Review volumes of spreadsheet data, sent to Ventra by facilities, to determine insurance crosswalks that need to be made.
• Compares insurance information, provided by the facilities, to Ventra insurance data to perform matches on insurance name, line of business type (financial class), and local area special arrangements for cross walking opportunities.
• Enters valid crosswalks into Ventra systems.
• Performs special projects and other duties as assigned.

Skills

EMR knowledge

Medical terminology

Communication skills

Time management

Attention to detail

Education

High School Diploma or GED

Tools

Cerner EMR

Meditech

Epic

PICIS

Outlook

Smartsheet

Excel

Job description

Ventra Health in the Philippines seeks an Intake Exceptions Specialist to accurately enter and maintain insurance and patient demographic information at the encounter level, with system-wide responsibilities at level II.

You will review demographics, assign insurance plans, verify data before coding, conduct research, and support major department projects. The role emphasizes accuracy, attention to detail, and collaboration in a fast-paced environment; prior billing experience is preferred.