Healthcare Document Processing Specialist

Ventra Health, Inc.; Fort Worth (TX); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Performance-based incentives

Referral bonus

Job summary

Ventra Health is seeking a Healthcare Document Processing Specialist to manage incoming correspondence and research claims for multiple clients in a fast-paced setting.

The role emphasizes accurate handling of EOBs, insurance knowledge, and clear communication. Experience in healthcare customer service is preferred, with opportunities for bonus incentives and professional growth within a collaborative team.

Qualifications

• Knowledge of Explanation of Benefits (EOBs) and insurance plans.
• Familiarity with ICD-10 and CPT coding.
• Strong word processing, spreadsheet, database, and presentation software skills.

Responsibilities

• Process and research incoming correspondence across multiple client queues.
• Resolves patient billing issues and explains policies clearly.
• Research, resolve, and document communications via email, phone, or other channels.
• Evaluate concerns and provide acknowledgement and appropriate follow-up.
• Assist with special projects and other duties as assigned.

Skills

EOE knowledge

Insurance plans

ICD-10 & CPT

MS Office

Time management

Communication skills

Education

High School Diploma or Equivalent

Tools

Microsoft Office

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 Healthcare Document Processing 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 onvarious factorsunique to eachcandidateincluding 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.

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/.