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Ventra Health, Inc.; Oregon; Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Discretionary bonus

Job summary

Ventra Health, Inc. seeks an Accounts Receivables Escalation Specialist to analyze collections, resolve non-payables, and handle bill inquiries for complex issues. US day shift ~8a-4:30pm EST/CST or Mountain/West Coast equivalent.

Strong knowledge of medical billing rules and ability to work in a fast-paced environment are required. Primary duties include following up on denials, writing appeals, and coordinating with payers to ensure timely reimbursement for clients.

Qualifications

• High School Diploma or GED.
• At least one year in data entry and one year in medical billing and claims resolution preferred.
• AAHAM andHFMA certification preferred.
• Experience with offshore engagement and collaboration desired.
• Intermediate knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding of EOBs.
• Proficiency in Outlook, Word, Excel (pivot tables) and database software.
• Ability to read, understand and apply state/federal laws, regulations, and policies.
• Strong communication, time management and organizational skills.
• Ability to work in a fast-paced, collaborative environment with diverse personalities.

Responsibilities

• Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
• Process assigned AR work lists provided by the manager in a timely manner.
• Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
• Identify and resolve denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
• Recommend accounts to be written off on Adjustment Request.
• Reports address and/or filing rule changes to the manager.
• Check the system for missing payments.
• Properly notates patient accounts.
• Review each piece of correspondence to determine specific problems.
• Research patient accounts.
• Review accounts and determine follow-up actions (adjustments, letters, phone insurance, etc.).
• Processes and follows up on appeals.
• Files appeals on claim denials.
• Scan correspondence and index to the proper account.
• Inbound/outbound calls may be required for follow-up on accounts.
• Respond to insurance company claim inquiries.
• Communicates with insurance companies about the status of outstanding claims.
• Meet established production and quality standards as set by Ventra Health.
• Performs special projects and other duties as assigned.

Skills

Communication skills

Time management

Organizational skills

Basic math

10-key typing

Regulatory knowledge

MS Office knowledge

Medical billing rules

Interpersonal skills

Team collaboration

Education

High School Diploma or GED

AAHAM/HFMA certification

Tools

Outlook

Word

Excel

Database software

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.

Job Summary

The Accounts Receivables Escalation Specialist are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Representatives are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards. US day shift ~8a-4:30pm EST/CST or Mountain/West Coast equivalent.

Essential Functions and Tasks

• Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
• Process assigned AR work lists provided by the manager in a timely manner.
• Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
• Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
• Recommend accounts to be written off on Adjustment Request.
• Reports address and/or filing rule changes to the manager.
• Check the system for missing payments.
• Properly notates patient accounts.
• Review each piece of correspondence to determine specific problems.
• Research patient accounts.
• Reviews accounts and determines appropriate follow-up actions (adjustments, letters, phone insurance, etc.).
• Processes and follows up on appeals.
• Files appeals on claim denials.
• Scan correspondence and index to the proper account.
• Inbound/outbound calls may be required for follow-up on accounts.
• Respond to insurance company claim inquiries.
• Communicates with insurance companies about the status of outstanding claims.
• Meet established production and quality standards as set by Ventra Health.
• Performs special projects and other duties as assigned.

Education and Experience Requirements

• High School Diploma or GED.
• At least one (1) year in the data entry field and one (1) year in medical billing and claims resolution preferred.
• AAHAM and/or HFMA certification preferred.
• Experience with offshore engagement and collaboration desired.

Knowledge, Skills, and Abilities

• Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding of EOBs.
• Become proficient in the use of billing software within 5 weeks and maintain proficiency.
• 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 a 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 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.

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 Agencies

Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment

Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on careers/.

Statement of Accessibility

Ventra 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 statement-of-accessibility/.