Registration/Eligibility Edits Specialist

Ventra Health, Inc.; Mabalacat; On-site; PHP 280,000 - 360,000; Full time

Benefits offered by this job

Rewards & Recognition program

Referral Bonus

Job summary

Ventra Health, Inc. is seeking a Registration/Eligibility Edits Specialist to ensure accurate patient demographics for medical billing and claims processing.

The role focuses on reducing billing errors and ensuring timely reimbursement by verifying insurance information and updating records. The ideal candidate has 1–2 years in medical billing or related healthcare admin, with familiarity in EHR systems (Epic, Cerner, Athena) and strong communication skills.

Qualifications

• Demonstrated accuracy with patient details (name, DOB, address, contact info).
• Experience in verifying insurance and updating records in billing systems.
• Knowledge of HIPAA and ability to maintain confidentiality and audit readiness.
• Familiarity with EHR and billing systems such as Epic, Cerner or Athena.

Responsibilities

• Validate patient demographics in billing systems for accuracy.
• Verify insurance coverage and eligibility via payer portals or clearinghouses.
• Maintain HIPAA compliance and document corrections for audits.

Skills

Patient demographics

Insurance verification

HIPAA compliance

EHR systems

Communication

Microsoft Excel

Time management

Education

High School Diploma

Tools

Epic

Cerner

Athena

Job description

About Us

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.

Come Join Our Team!

• As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards

Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary

• The Registration/Eligibility Edits Specialist is responsible for ensuring the accuracy and completeness of patient demographics information used for medical billing and claims processing.
• This role is critical in reducing the billing errors and ensuring the timely reimbursement by verifying the insurance information, correcting data discrepancies, and maintaining up-to-date patient records.

Essential Functions and Tasks

• Validate Patient Demographics: Review and ensure accuracy of patient details such as name, date of birth, address, and contact info in billing systems.
• Verify Insurance Information: Confirm insurance coverage and eligibility through payer portals or clearinghouses, and update records accordingly.
• Maintain Compliance and Documentation: Adhere to HIPAA regulations, maintain data confidentiality, and document all corrections and validations for audit purposes.

Education and Experience Requirements

• High School Diploma or equivalent (required).
• 1–2 years of experience in medical billing, patient registration, insurance verification, or related healthcare administrative role.
• Knowledge of insurance plans, billing processes, and HIPAA compliance.
• Familiarity with Electronic Health Records (EHR) and billing systems (e.g., Epic, Cerner, Athena).

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 knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

Compensation

• Base Compensation will be based onvarious factorsunique to eachcandidateincluding geographic location, skill set, experience, qualifications, and other job-related reasons.

• This position is also eligible fora discretionaryincentivebonusin accordance withcompany policies.

Ventra Health

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 AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.

Statement of AccessibilityVentra 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/.