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About Ventra Health

Ventra Health is a health technology company specializing in providing solutions for healthcare organizations, focusing on revenue cycle management, business process outsourcing, and analytics to optimize operational performance and improve financial outcomes.

Charge Entry Specialist

Guindy, Tamil Nadu, India

0 - 2 years

Not disclosed

Not specified

Full Time

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 Charge Entry Specialist is responsible for the inputting and verification of data, correction of erroneous data and submission. They are also responsible for the inputting and verification of data, correction of erroneous data and submission. Responsibilities also include conducting research missing reports, monitoring AIMS for potential issues and identifying trends in missing data. Essential Functions And Tasks Perform manual charge entry of charges received. Maintains the rebilling of unbilled claims. Work HCFA Review per specifications. Correct errors after posting. Work charge posting exceptions. Actively researches time of service and charge logs. Performs monthly manual or electronic charge verification research. Research, entry, and mapping of referring physicians. Requesting missing reports from multiple contacts and/or accessing remote systems for missing information. Monitoring internal AIMS site for potential charge issues with the client. Education And Experience Requirements High school diploma or equivalent required. At least one year of medical billing experience required. Knowledgeable of medical terminology, medical coding. Knowledge of third-party billing and reimbursement processes. 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 problem-solving skills. Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/.

Supervisor, Denial Specialist

Coimbatore, Tamil Nadu, India

5 - 8 years

Not disclosed

On-site

Not specified

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 Supervisor, Denial Specialist will manage and direct a team of Coding Denial Specialists, who are responsible for working assigned claim edits and rejection work queues, The Supervisor, Denial Specialist will ensure timely investigation and resolution of health plan denials. Additionally, the Supervisor, Denial Specialist will determine appropriate actions and provide resolution for health plan denials. Essential Functions And Tasks Oversee the daily operations of the coding denial team. Ensuring the timely investigation and resolution of health plan denials. Implementing and maintaining policies and procedures for denial management. Monitoring and reporting on the productivity and performance of the team. Providing training and support to the team members to enhance their skills and knowledge. Education And Experience Requirements Minimum of 3 months’ experience with Ventra. One to three years’ experience in physician medical billing with emphasis on research and claim denials. A current production and performance rating of no less than 95%. A current attendance rating of no less than 95%. Knowledge, Skills, And Abilities Knowledge of health insurance, including coding. Thorough knowledge of physician billing policies and procedures. Thorough knowledge of healthcare reimbursement guidelines. Knowledge of AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Computer literate, working knowledge of Excel helpful. Able to work in a fast-paced environment. Good organizational and analytical skills. Ability to work independently. Ability to communicate effectively and efficiently. Proficient computer skills, with the ability to learn applicable internal systems. Ability to work collaboratively with others toward the accomplishment of shared goals. Basic use of computer, telephone, internet, copier, fax, and scanner. 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. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/.

Human Resource Intern

Chennai

0 - 1 years

INR Not disclosed

Work from Office

Internship

Key Responsibilities: Assist in sourcing and screening candidates Coordinate interviews and recruitment activities Support employer branding initiatives Maintain candidate databases (ATS/Excel) Assist with onboarding processes Perks: Hands-on recruitment experience Mentorship from HR professionals

Director, Coding

Guindy, Tamil Nadu, India

0 years

Not disclosed

On-site

Full Time

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 Under administrative direction, the Director, Coding plans, administers, and directs the Coding Department Essential Functions And Tasks Directs, leads, and manages Coding operations: recruits, selects, orients, trains, coaches, counsels, and disciplines staff Oversees workflow and productivity to ensure client deadlines are met Oversee ongoing analysis of medical record documentation Provides ongoing feedback to Client Success and directly to clients on documentation requirements Communicates with offshore vendors on an ongoing basis Presents to executive team and clients Provides feedback to senior leadership on Coding department Monitor provider audit results for potential policy violation Address operational questions escalated from Coding manager Perform operational training for new and existing coders, as needed Submit trouble tickets, as needed Perform employee evaluations and feedback Assess and perform hiring or termination for Coding department Identify policy violations and follow up with Coding Manager/Coding department Performs special projects as needed Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy Education And Experience Requirements Bachelor’s Degree in Business Administration or equivalent training or experience RHIT and/or CPC preferred At least five (5) years of Anesthesia/surgery/emergency department (ED) coding experience preferred Knowledge, Skills, And Abilities In depth knowledge of CPT/ICD-10 coding system Knowledge of the requirements of medical record documentation Knowledge of medical terminology and anatomy Strong oral, written, and interpersonal communication skills Strong time management and organizational skills Ability to read, understand, and apply state/federal laws, regulations, and policies Ability to remain flexible and work within collaborative and fast paced environment Ability to communicate with diverse personalities in a tactful, mature, and professional manner Proficient use of computer, telephone, internet, copier, fax, and scanner Maintain proficiency in use of billing software Understand and comply with company policies and procedures Basic knowledge of Outlook, Word, and Excel 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Manager, Coding

Guindy, Tamil Nadu, India

8 years

Not disclosed

On-site

Full Time

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 We are currently seeking a skilled and experienced individual to lead our Medical Coding team as a US Healthcare Medical Manager, Coding. This role requires a deep understanding of medical coding practices, regulations, and industry standards within the US healthcare system. The ideal candidate will possess strong leadership abilities, exceptional organizational skills, and a commitment to maintaining high standards of accuracy and compliance. Essential Functions And Tasks Team Leadership: Provide leadership and guidance to the medical coding team, including assigning tasks, setting goals, and conducting performance evaluations. Foster a positive work environment that encourages collaboration, innovation, and professional growth. Coding Operations: Oversee all aspects of the medical coding process, ensuring accuracy, completeness, and compliance with relevant coding guidelines and regulations (e.g., CPT, ICD-10, HCPCS). Implement best practices to optimize coding efficiency and productivity. Compliance: Stay informed about changes and updates in coding regulations, reimbursement policies, and healthcare compliance requirements. Ensure that coding practices align with applicable laws, regulations, and industry standards, including HIPAA and other privacy regulations. Training and Development: Provide ongoing training and education to coding staff to keep them updated on changes in coding guidelines, regulations, and best practices. Mentor team members and support their professional development goals. Collaboration: Work closely with other departments, such as revenue cycle management, clinical documentation improvement, and compliance, to ensure seamless integration of coding processes with overall revenue cycle operations. Collaborate with internal and external stakeholders to address coding-related issues and optimize revenue capture. Performance Analysis: Monitor coding metrics and key performance indicators to track team performance and identify opportunities for process improvement. Develop reports and presentations to communicate coding trends, challenges, and achievements to senior management. Education And Experience Requirements Bachelor's degree in any related field. Master's degree preferred. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required. Minimum of 8 years of experience in medical coding, with at least 3 years in a supervisory or managerial role. Knowledge, Skills, And Abilities In-depth knowledge of CPT, ICD-10, HCPCS coding systems, as well as coding guidelines and regulations in the US healthcare industry. Strong leadership skills, with the ability to motivate and inspire team members to achieve high performance standards. Excellent communication and interpersonal skills, with the ability to collaborate effectively with diverse stakeholders. Proficiency in coding software and electronic health record (EHR) systems. Demonstrated experience in developing and implementing coding policies, procedures, and quality assurance programs. Experience with revenue cycle management processes and healthcare reimbursement methodologies. Familiarity with coding-related software tools and technology, such as encoders, grouper software, and computer-assisted coding (CAC) systems. Knowledge of healthcare compliance regulations, including HIPAA, HITECH, and Medicare billing rules. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Trainer, Accounts Receivable

Hyderabad, Telangana, India

5 years

Not disclosed

On-site

Full Time

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 We are seeking a highly skilled and experienced Healthcare Accounts Receivable (AR) Trainer to join our team. The ideal candidate will have a strong background in healthcare revenue cycle management, with expertise in accounts receivable processes. The Healthcare AR Trainer will be responsible for developing and delivering training programs to ensure that our staff are equipped with the necessary knowledge and skills to effectively manage healthcare AR processes. Essential Functions And Tasks Develop comprehensive training programs for healthcare accounts receivable staff, covering topics such as medical billing, claims processing, payment posting, denial management, and revenue cycle best practices. Create training materials, including presentations, manuals, and job aids, to support the delivery of training programs. Deliver engaging and interactive training sessions to healthcare AR staff, both in-person and virtually, ensuring that content is effectively communicated and understood. Assess the training needs of individual staff members and departments, and tailor training programs accordingly. Provide ongoing support and coaching to healthcare AR staff, offering guidance and assistance as needed to address challenges and improve performance. Stay informed about changes and updates in healthcare regulations, payer policies, and industry trends related to accounts receivable management, and incorporate relevant information into training programs. Collaborate with other departments, such as revenue cycle management, billing, and coding, to ensure alignment and consistency in training initiatives. Evaluate the effectiveness of training programs through assessments, feedback, and performance metrics, and adjust as necessary to optimize learning outcomes. Keep accurate records of training activities, attendance, and outcomes, and generate reports as needed to track progress and measure success. Stay abreast of emerging technologies and tools in healthcare revenue cycle management and explore opportunities to enhance training methodologies and delivery mechanisms. Education And Experience Requirements Bachelor's degree in any related field. Minimum of 5 years of experience in healthcare revenue cycle management, with a focus on accounts receivable. Minimum 1-year Proven experience developing and delivering training programs, preferably in a healthcare setting. Knowledge, Skills, And Abilities In-depth knowledge of medical billing processes, reimbursement methodologies, and regulatory requirements. Strong understanding of healthcare payer policies and claims adjudication processes. Excellent communication and presentation skills, with the ability to convey complex information in a clear and understandable manner. Effective interpersonal skills, with the ability to build rapport and establish credibility with diverse groups of learners. Strong analytical and problem-solving abilities, with a focus on continuous improvement. Proficiency in Microsoft Office applications and learning management systems (LMS). Certified Professional Coder (CPC) or Certified Revenue Cycle Representative (CRCR) certification is a plus. A willingness to travel occasionally for training purposes. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Human Resource Intern

Chennai

0 - 1 years

INR 0.5 - 0.6 Lacs P.A.

Work from Office

Full Time

Key Responsibilities: Sourcing and screening potential candidates Scheduling and coordinating interviews Supporting employer branding efforts Maintaining recruitment databases Assisting with onboarding processes Perks & Benefits: • Practical HR recruitment experience • Direct mentorship from industry professionals • Certificate upon completion • Potential consideration for future openings

Associate Director Quality Assurance

Chennai, Tamil Nadu, India

15 years

Not disclosed

On-site

Full Time

Company Description Ventra Health is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and radiology. Role Description This is a full-time Associate Director Quality Assurance role located on-site in Chennai. The Associate Director Quality Assurance will be responsible for overseeing quality control, quality assurance, quality management, quality auditing, and quality system processes. Qualifications Minimum of 15 years of experience in US Healthcare RCM Quality Control and Quality Assurance skills Quality Management and Quality Auditing skills Experience in implementing and maintaining quality systems Experience in Auditing methodologies and workflow process mapping Strong knowledge in Accounts Receivable and Provider Enrollment processes Strong attention to detail and analytical skills Excellent communication and leadership abilities Strong track record of managing large teams and driving quality KPIs Bachelor's degree in any field Show more Show less

Associate Director, Quality Assurance

Chennai, Tamil Nadu, India

15 years

Not disclosed

On-site

Full Time

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 Associate Director, Quality Assurance will oversee the quality operations for multiple functions, ensuring efficiency. Optimizing revenue cycle performance, managing compliance with regulations, and implementing quality improvement processes. Essential Functions And Tasks Lead and support quality initiatives across multiple functions. Centralize and standardize all QA operations to enterprise model. Drive quality improvement projects and ensure team is trained on best practices. Facilitate communication between departments to address any cross-functional quality concerns. Collaborate with training team to create tailored projects focused on continuous improvement. Report key quality metrics to senior leadership, identifying trends, areas for improvement, and recommending actions to enhance quality. Education And Experience Requirements College graduate. Minimum of 15 years of experience in US healthcare revenue cycle management. Expose to quality management is an added benefit. Knowledge, Skills, And Abilities Strong knowledge on end-to-end healthcare operations. Ability to handle large team at an enterprise level. Ability to work with stakeholders and establish policies and procedures. 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. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Trainer, Coding

Hyderabad, Telangana, India

5 years

Not disclosed

On-site

Full Time

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 We are seeking a knowledgeable and experienced individual to join our team as a Medical Coding Trainer. The ideal candidate will have a deep understanding of medical coding principles, particularly within the context of the US healthcare system. This role involves developing and delivering training programs to equip medical coding professionals with the necessary skills and knowledge to excel in their roles. Essential Functions And Tasks Curriculum Development: Design and develop comprehensive training curriculum covering various aspects of US healthcare medical coding, including CPT, ICD-10, HCPCS, and medical terminology. Training Delivery: Conduct engaging and informative training sessions, both in-person and virtually, to individuals and groups of medical coding professionals. Ensure that training materials are up-to-date and aligned with industry standards. Quality Assurance: Evaluate the effectiveness of training programs through assessments, feedback, and performance metrics. Continuously update and refine training materials to meet the evolving needs of the healthcare industry. Subject Matter Expertise: Serve as a subject matter expert on multi-specialty (Anesthesia / EM/ Radiology, etc.) medical coding practices, regulations, and compliance requirements in the US healthcare system. Stay informed about changes and updates in coding guidelines and communicate these to trainees effectively. Mentorship and Support: Provide ongoing support and mentorship to trainees, assisting them in applying their knowledge effectively in real-world scenarios. Address any challenges or questions related to medical coding with professionalism and expertise. Collaboration: Work closely with other departments, such as human resources, compliance, and operations, to ensure alignment of training programs with organizational goals and objectives. Education And Experience Requirements Bachelor's degree in any related field. Master's degree preferred. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification required. Minimum of 5 years of experience in medical coding & 2 years of experience in training, with a strong understanding of CPT, ICD-10, and HCPCS coding systems. Knowledge, Skills, And Abilities Proven experience in designing and delivering training programs, preferably in a healthcare setting. Excellent communication and presentation skills, with the ability to effectively convey complex information to diverse audiences. Strong attention to detail and analytical skills, with the ability to assess training needs and evaluate program effectiveness. Proficiency in MS Office Suite and other training-related software tools. Ability to work independently as well as collaboratively in a team environment. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/ . Show more Show less

Payment Posting Specialist

Coimbatore, Tamil Nadu, India

0 years

Not disclosed

On-site

Full Time

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 Payment Posting Specialist is responsible for the monetary intake for Ventra Health clients. The Payment Posting Specialist may be assigned between 13 -14 facilities/clients that they will be responsible for maintaining our 6 days turnaround time. Posts all deposits for current month by our month end deadline. Payment posting specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country. Essential Functions And Tasks Posts Accounts Payable deposits. Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing. Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes. Balances and closes payment batches timely. Navigate websites to obtain EOBs. Performs special projects and other duties as assigned. Education And Experience Requirements High School Diploma or Equivalent. At least two (2) years of experience posting insurance payments in a healthcare setting. At least two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred. Knowledge, Skills, And Abilities Knowledge of insurance payer types. Knowledge of Explanation of Benefits (EOB) statements. Strong balancing and reconciliation skills. Strong 10 Key calculator skills. Strong oral, written, and interpersonal communication skills. Strong mathematical skills. Strong time management 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. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

LMS Administrator

Chennai, Tamil Nadu, India

3 years

Not disclosed

On-site

Full Time

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 LMS Administrator will be responsible for managing and maintaining the internal and external Learning Management System to support Ventra Health’s training and educational objectives. The ideal candidate will have at least 3 years of experience in administering LMS platforms, a strong technical background, excellent communication skills, and a passion for enhancing the learning experience. Essential Functions And Tasks System Administration: Manage the day-to-day operation of the LMS, including user account management, course setup, and content uploads. Monitor system performance, troubleshoot issues, and implement solutions to ensure optimal functionality. Configure system settings, permissions, and roles to meet the organization's requirements. Content Management: Collaborate with instructional designers and subject matter experts to upload, organize, and maintain course content within the LMS. Ensure content is current, accurate, and aligned with learning objectives. Conduct regular audits to review content quality and compliance with standards. User Support and Training: Provide technical support to users, including troubleshooting user issues, answering inquiries, and providing guidance on system usage. Develop and deliver training programs for administrators, instructors, and learners on LMS functionality and best practices. Create documentation and tutorials to assist users in navigating the LMS platform effectively. Data Management and Reporting: Generate reports on user activity, course completion rates, and other relevant metrics to assess the effectiveness of training initiatives. Analyze data to identify trends, opportunities for improvement, and areas for expansion of the LMS capabilities. Maintain data integrity and security protocols, ensuring compliance with privacy regulations. Education And Experience Requirements Bachelor's degree in Computer Science, Information Technology, or a related field. Minimum of 3 years of experience administering a Learning Management System, preferably in a corporate setting. Proficiency in LMS platforms such as Skilljar, Moodle, Intellum, Docebo, or similar system. Strong technical skills, including knowledge of HTML/CSS, SCORM, and other e-learning standards. Excellent problem-solving abilities and attention to detail. Effective communication and interpersonal skills, with the ability to interact with diverse stakeholders. Proven ability to work independently and collaboratively in a fast-paced environment. Knowledge, Skills, And Abilities Strong analytical and problem-solving skills to troubleshoot technical issues and implement effective solutions. Ability to manage multiple tasks and priorities effectively, with attention to detail and accuracy. Experience delivering training sessions or workshops to end-users on LMS functionality and best practices. 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. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational skills. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Accounts Receivable Specialist

Guindy, Tamil Nadu, India

0 years

Not disclosed

On-site

Full Time

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 Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards. 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. 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 4 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. 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Trainer, Provider Enrollment

Chennai, Tamil Nadu, India

0 years

Not disclosed

On-site

Full Time

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 Provider Enrollment Trainer at Ventra plays a vital role in onboarding new Ventra colleagues specific to the Provider Enrollment function and educating them on processes required to serve our clients. The Trainer is responsible for delivering and assisting with the training programs that will allow colleagues to enroll physicians with payors, and research and resolve enrollment issues. The Trainer will conduct regular training activities for new and existing colleagues to ensure ongoing excellence within Provider Enrollment. Essential Functions And Tasks Delivers and facilitates structured training and development programs and initiatives in support of the company's Provider Enrollment initiatives. Provides continual training support and facilitation, based upon Provider Enrollment observations. Provides observations and coaching requested by functional Provider Enrollment Other responsibilities may include reporting on training metrics, Provider Enrollment observations and feedback, and other training administration work as required. Facilitate training for newly hired and existing colleagues of Ventra on Provider Enrollment specific processes and quality standards. Assistance with creating and updating training materials to address initial and ongoing training needs for service delivery. Education And Experience Requirements The Trainer will be a seasoned training professional, with Customer Service/Call Center, AR, and/or Provider Enrollment experience. Bachelor’s degree with an emphasis on education, healthcare, or related field. Three or more years of relevant experience, preferably in an international corporate setting. Healthcare and technology-focused experience strongly desired. Experience in working with virtual training solutions, such as Teams, Zoom, WebEx, etc. Fluent in English. Knowledge, Skills, And Abilities Delivering education to new and incumbent Ventra colleagues. Developing, establishing, and conducting classroom-based and virtual classes via web conference tools. Developing presentations for classroom and web conferences using adult learning methods. Consistently updating management on progress of new colleague development and progress. Possess the ability to assimilate new information quickly. Use creativity to enhance classroom education and presentation materials. Articulate and utilize proper grammar in daily conversation and development of written materials. Strong organizational skills with ability to prioritize work, manage deadlines and adjust to business needs. Ability to act with a sense of urgency and manage multiple tasks and stringent deadlines. 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. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication 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 incentiv e bon us 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/. Show more Show less

Opening For Accounts Receivable Caller(AR Caller) - Coimbatore!!

Coimbatore

2 - 5 years

INR 1.75 - 6.0 Lacs P.A.

Work from Office

Full Time

Dear Candidates, Greetings from Ventra Health!! Experience Range - 2+ Years Shift - Night shift(6:30 pm to 3:30am - IST) Two way cabs Location - Coimbatore Contact Person - Sridhar (9087799053) Job Summary : The Accounts Receivable (AR) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards. 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. 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 4 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.

Quality Assurance, Implementation

Hyderabad

3 - 5 years

INR 7.0 - 15.0 Lacs P.A.

Work from Office

Full Time

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! Overview The Quality Analyst (QA), Implementations will play a critical role in the client onboarding and implementations team, focusing on ensuring the accuracy, consistency, and completeness of healthcare data integrations and billing system configurations. This position involves performing rigorous QA checks on data feeds received from various healthcare facilities—including patient demographics, medical records, and provider schedules—in multiple formats, as well as validating billing system setup for new clients. The ideal candidate will possess a strong understanding of the US healthcare domain and revenue cycle management (RCM) processes, with an emphasis on data integrity and system quality assurance. Responsibilities Perform detailed quality assurance reviews of inbound healthcare data feeds from client facilities, ensuring proper formatting, data integrity, and alignment with system specifications. Validate the successful ingestion and transformation of data into internal billing systems. Conduct end-to-end QA of system configuration for new client onboardings, ensuring alignment with contract requirements and billing workflows. Collaborate with Business Analysts, Developers, and Billing Teams to troubleshoot and resolve data issues and configuration mismatches. Document defects, inconsistencies, and improvement opportunities in a clear and actionable manner. Develop and maintain QA documentation, including test cases, checklists, and standard operating procedures (SOPs). Participate in client requirement gathering and technical walkthroughs to understand scope and impact of onboarding requirements. Ensure compliance with data privacy and healthcare regulations (e.g., HIPAA). Assist in continuous improvement initiatives across QA processes to increase efficiency and reduce errors. Qualifications Bachelor's degree in health information management, Computer Science, Information Systems, or a related field (or equivalent work experience). 4+ years of experience in a QA role, preferably within the US healthcare or revenue cycle management (RCM) domain. Experience working with healthcare data, EMRs/EHRs, or medical billing systems. Prior involvement in client onboarding or implementation projects is highly desirable. 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 incentiv e bon us in accordance with company policies .

Quality Assurance, Implementation

Hyderabad, Telangana, India

4 years

None Not disclosed

On-site

Full Time

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 Quality Analyst (QA), Implementations will play a critical role in the client onboarding and implementations team, focusing on ensuring the accuracy, consistency, and completeness of healthcare data integrations and billing system configurations. This position involves performing rigorous QA checks on data feeds received from various healthcare facilities—including patient demographics, medical records, and provider schedules—in multiple formats, as well as validating billing system setup for new clients. The ideal candidate will possess a strong understanding of the US healthcare domain and revenue cycle management (RCM) processes, with an emphasis on data integrity and system quality assurance. Essential Functions And Tasks Perform detailed quality assurance reviews of inbound healthcare data feeds from client facilities, ensuring proper formatting, data integrity, and alignment with system specifications. Validate the successful ingestion and transformation of data into internal billing systems. Conduct end-to-end QA of system configuration for new client onboardings, ensuring alignment with contract requirements and billing workflows. Collaborate with Business Analysts, Developers, and Billing Teams to troubleshoot and resolve data issues and configuration mismatches. Document defects, inconsistencies, and improvement opportunities in a clear and actionable manner. Develop and maintain QA documentation, including test cases, checklists, and standard operating procedures (SOPs). Participate in client requirement gathering and technical walkthroughs to understand scope and impact of onboarding requirements. Ensure compliance with data privacy and healthcare regulations (e.g., HIPAA). Assist in continuous improvement initiatives across QA processes to increase efficiency and reduce errors. Education And Experience Requirements Bachelor's degree in health information management, Computer Science, Information Systems, or a related field (or equivalent work experience). 4+ years of experience in a QA role, preferably within the US healthcare or revenue cycle management (RCM) domain. Experience working with healthcare data, EMRs/EHRs, or medical billing systems. Prior involvement in client onboarding or implementation projects is highly desirable. Knowledge, Skills, And Abilities Strong knowledge of US healthcare workflows and terminology, especially around patient data, medical records, and billing processes. Understanding of revenue cycle management (RCM) and payer-provider dynamics. Proficiency in QA methodologies, tools, and best practices (e.g., test plans, data validation, defect tracking). Familiarity with healthcare data formats such as HL7, CCD/C-CDA, CSV, or JSON. Hands-on experience with billing systems and/or implementation platforms. Exceptional attention to detail and analytical thinking. Excellent communication skills—able to convey technical issues to non-technical stakeholders. Strong organizational and documentation skills. Ability to work independently in a fast-paced, deadline-driven environment. 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 incentiv e bon us 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 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/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 https://ventrahealth.com/statement-of-accessibility/.

Ventra Health

Ventra Health

|

Healthcare Technology / Revenue Cycle Management

Brentwood

150-200 Employees

17 Jobs

    Key People

  • Michael Hall

    CEO
  • Susan Kim

    COO
cta

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