Supervisor, Credits

Ventra Health, Inc.; Northern (KY); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Performance-based incentive plan

Referral bonus

Discretionary incentive bonus

Job summary

Ventra Health is seeking a Supervisor, Credits to oversee the daily operations of the Refunds department in the United States. The role includes supervising staff, managing credit balance and refund processing, and driving process improvements.

The ideal candidate will have EOB reading experience, posting payments, and strong Excel skills for data analysis. Collaboration with Client Services and cross-functional teams is essential.

Qualifications

• High School Diploma or Equivalent.
• Two (2) years reading medical EOB statements and understanding credit balance/refund management.
• One (1) year posting medical payments to billing.
• Six (6) months supervisory/management/leadership experience preferred.

Responsibilities

• Supervises and trains assigned staff, conducts performance appraisals, makes employment and discipline recommendations, and coordinates work assignments.
• Manages credit balance inventory to ensure credit balances and refund requests are resolved within expected turnaround times for both patient and insurance refund inventory.
• Track trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements.
• Tracks, maintains, and monitors employee metrics and ensures quality audits are completed timely and consistently.
• Interacts with clients and Client Services teams by answering inquiries, providing credit balance reports, project updates, etc.
• Participates in development and delivery of employee training courses and materials.

Skills

Staff supervision

Reading EOB statements

Credit balance management

Excel pivot tables

Data analysis

Interpersonal communication

Time management

Team training

Education

High School Diploma or equivalent

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 Supervisor, Credits is responsible for the for the daily operations of the Refunds department.

Essential Functions and Tasks

• Supervises and trains assigned staff, conducts performance appraisals, makes employment and discipline recommendations, and coordinates work assignments.

• Manages credit balance inventory to ensure credit balances and refund requests are resolved within expected turnaround times for both patient and insurance refund inventory.

• Track trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements.

• Tracks, maintains, and monitors employee metrics and ensures quality audits are completed timely and consistently.

• Interacts with clients and Client Services teams by answering inquiries, providing credit balance reports, project updates, etc.

• Participates in development and delivery of employee training courses and materials.

Education and Experience Requirements

• High School Diploma or Equivalent.

• Two (2) years of experience reading medical Explanation of Benefits (EOB) statements and understanding credit balance/refund management.

• One (1) year of experience posting medical payments to billing.

• Six (6) months of supervisory/management/leadership experience preferred.

Knowledge, Skills, and Abilities

• Experience processing electronic and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, and contractual allowances.

• Strong working knowledge of department roles and responsibilities.

• Strong supervisory/management skills.

• Strong oral, written, and interpersonal communication skills.

• 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 Excel experience using pivot tables and analyzing large datasets.

• Strong interpersonal skills.

• Strong time management skills.

• Strong critical thinking skills.

• Strong organizational skills.

• 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.

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/.