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12 open rolesLatest: May 16, 2026, 3:10 PM UTC
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Role Description The Manager, Provider Enrollment is primarily responsible for overseeing the Provider Enrollment Department. - Manages Provider Enrollment Department operations; recruits, selects, orients, trains, coaches, counsels, and disciplines staff. - Plans, monitors, appraises, and reviews staff job contributions. - Implements cross functional training and succession planning as allowable. - Develops relationship with clients and provides regular status updates on the credentialing process. - Coordinates with client leadership and credentialing staff to obtain necessary documents and information for enrollment process. - Holds monthly meetings with management to review held claims and address concerns. - Reports major issues to MGA leadership and makes aware of potential threats/opportunities. - Develops policies, guidelines, and implements procedures ensuring consistent department-wide implementation. - Enhances and standardizes work-flow processes throughout the enrollment cycle. - Monitors timeliness and effectiveness of department activities. - Compiles and prepares reports for management to analyze trends and make recommendations. - Conducts regular meetings with the team and provides suggestions for improvement. - Protects and safeguards company and patient information; reports suspicious activity to management. - Performs special projects and other duties as assigned. Qualifications - High School diploma or equivalent. - Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred. - At least two (2) years of physician billing, hospital billing, or vendor management experience in provider enrollment functions. - At least one (1) year of supervisory/management/leadership experience preferred. - Experience with CAQH database, NPI website, and maintaining EDI, EFT, and ERA processes preferred. Requirements - Knowledge of business and financial processes, procedures, and processes. - Knowledge of medical terminology and anatomy. - Knowledge of requirements of medical record documentation. - Strong supervisory/management skills. - Strong management level oral, written, and interpersonal communication skills. - Strong financial reporting skills. - Strong healthcare data analysis skills. - Strong presentation development and delivery skills. - Strong word processing, spreadsheet, database, and presentation software skills. - Strong decision-making 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 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. 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. 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.

United States
Job Closed

Role Description The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnoses. The Coding Specialist must ensure the encounters have been coded correctly based on documents received and using the most current coding guidelines. The Coding Specialist should be able to communicate and recognize inadequate or incorrect documentation so that all coding is completed compliantly. - Performs ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. - Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. - Perform MIPS review as needed. - Perform Provider QA as needed. - Document coding errors. - Assist coding management. - Assist with client/provider audits as needed. - Assist with reviewing work product of new coders in training, as needed. - Provides feedback to coders on coding discrepancies/deficiencies, as needed. - Provides feedback to coding manager on documentation deficiencies in a timely manner. - Respond to questions from designated coders. - Maintain confidentiality for all personal, financial, and medical information found in medical records per HIPAA guidelines and Ventra Health policy. Qualifications - High School diploma or equivalent. - RHIT and/or CPC required. - At least one (1) year of medical billing preferred. - 2023 MDM Guidelines required. Requirements - Understand the use and function of modifiers in CPT. - In-depth knowledge of CPT/ICD-10 coding system. - Ability to read and interpret documentation and assign appropriate codes for diagnosis and procedures. - 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. - 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. - Basic use of computer, telephone, internet, copier, fax, and scanner. - Basic knowledge of Outlook, Word, and Excel. - Become proficient in the use of billing software within 4 weeks and maintain proficiency. - Understand and comply with company policies and procedures. Benefits - 100% remote in South India – Andhra Pradesh, Tamil Nadu, Telangana, Kerala, & Karnataka. - Full-time opportunity. - Competitive salaries plus incentive in INR. - Day shift hours, 5-day (M-F) work schedule, & collaborative team culture. - Day 1 - 3 orientation onsite and equipment pickup in Chennai Service Delivery. - Day 4 training will begin remotely (WFH). - We offer the following benefits – PF, Gratuity, ESI or Group Insurance. - Colleague Recognition Programs – Monthly VIP, Spot Recognition, & IJP Career Progression.

India
$99K - $114K / year
Job Closed

Role Description The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work queues. Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. - Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned queues. - Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. - Validate denial reasons and ensures coding is accurate. - Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. - Follow specific payer guidelines for appeals submission. - Escalate exhausted appeal efforts for resolution. - Adhere to departmental production and quality standards. - Complete special projects as assigned by management. - Maintain working knowledge of workflow, systems, and tools used in the department. Qualifications - High school diploma or equivalent. - One to three years’ experience in physician medical billing with emphasis on research and claim denials. - Current AAPC or AHIMA certification required. Requirements - 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. - 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 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.

United States
PEN220K - PEN310K / year
Job Closed

Role Description The Project Lead, Client Onboarding at Ventra Health is responsible for managing the end-to-end onboarding of multiple healthcare clients into our coding and billing services. This includes: - Gathering setup data - Leading client and internal meetings to support data interface and billing system setups - Coordinating with vendor partners to ensure a smooth transition to the Client Success and Service Delivery teams post go-live This role leads cross-functional teams through 1–3 month onboarding projects. The Project Lead brings strong project management skills, a solid understanding of the revenue cycle, and the ability to drive operational improvements that support Ventra Health’s mission of delivering high-quality, efficient RCM coding and billing services. Qualifications - Bachelor’s Degree - Seven (5) years of related project management experience - Effective oral and written communication skills - Experience managing multiple projects Requirements - Working knowledge of Revenue Cycle Management specific to coding and billing - Working knowledge of project management tools and software - Strong strategic thinking skills - Strong complex project implementation skills - Strong process development skills - Strong word processing, spreadsheet, database, and presentation software skills - Strong management level oral, written, and interpersonal communication skills - Strong presentation development and delivery skills - Strong decision-making skills - Strong time management skills - Strong organizational skills - Ability to independently and successfully apply business process acumen to process improvement projects, with measurable business performance improvement outcomes - Ability to influence, negotiate and lead across internal constituencies regardless of title or authority - Ability to work against a plan, meet deadlines and produce deliverables relative to target dates - Ability to establish trust and credibility at all levels of an organization - Ability to communicate with a variety of stakeholders (both functional peers and those at the executive level) from both internal and external organizations - Ability to effectively work with a diverse set of stakeholders to coordinate project implementations - Ability to take initiative and effectively troubleshoot while focusing on innovative solutions - Ability to exercise sound judgment - Ability to handle highly sensitive and confidential information appropriately - Ability to initiate and maintain professional relationships - 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 Benefits - Performance-based incentive plan - Referral bonus for referring friends Travel - Remote - Not required unless specifically requested in service of a particular client 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 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. 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/ .

United States
Job Closed

Role Description The Director, Client Success is responsible for overseeing and ensuring that Manager, Client Success maintain and develop a strong and long-term relationship with clients. This role will also include overseeing that relative operational and business services departments are on track for their clients and monitor and assess CRM Performance and activity on assigned clients, escalating issues/concerns, as appropriate. - Monitor client performance and ensure Client Success standards are met - Utilize KPI tools and other analytics to manage and provide reporting and visibility on the performance and health of all internal and external clients - Mentor assigned Manager, Client Success in managing assigned clients to meet expectations, and exceed when opportunities arise - Establish and ensure client face-to-face meetings occur with CRM at a regular frequency - Analyze client results proactively to identify revenue cycle and client success related issues and work collaboratively with the Operations, Business Services teams, and leadership to implement solutions; ensure client concerns are escalated and resolved in a timely manner - Assist implementation team and Manager, Client Success on new client/expansions implementations - Compliance and adherence to applicable healthcare and security regulations and responsible for staff’s compliance and adherence - Responsible for the oversight, mentorship, and growth of assigned Client Success colleagues, where applicable - Performs special projects and other duties as assigned Qualifications - High School Diploma or GED - Bachelor’s Degree in business, healthcare management, or related field preferred - At least five years (5) in healthcare, revenue cycle management, or related field Requirements - Basic familiarity with medical billing and terminology - 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 - Ability to deliver high quality service excellence with high attention to detail - Understand and comply with company policies and procedures - Proven strong leadership/management skills to manage, motivate, and set expectations with team members - Strong presentation development and delivery skills - Strong knowledge in RCM, accounting, and/or finance - Strong customer service and customer facing skills - Strong judgment skills and problem-solving skill - Strong oral, written, and interpersonal communication skills - Strong time management, organizational, and decision-making skills - Strong knowledge of Outlook and RCM software or equivalent workflow management software Benefits - 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.

United States
Job Closed

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for supporting payer contract development, analysis, and strategy execution to ensure optimal reimbursement and compliance with payer requirements. - Conduct contract negotiation discussions on behalf of clients with payers. - Assist in reviewing, interpreting, and maintaining payer contracts and fee schedules. - Support negotiation preparation by compiling rate comparisons and reimbursement trends. - Identify and escalate contract discrepancies impacting payment performance. - Collaborate with finance and AR teams to ensure payer terms are accurately reflected in billing systems. - Maintain payer-related documentation, amendments, and communication logs. - Provide input for payer performance reviews and support audits as needed. - Participate in payer meetings or calls to support strategic initiatives. Qualifications - High School Diploma or GED. - At least two to four (2-4) years of medical billing and claims resolution experience preferred. - AAHAM and/or HFMA certification preferred. - Experience with offshore engagement and collaboration desired. Requirements - Strong understanding of payer contracts, reimbursement methodologies, and healthcare compliance. - Familiarity with commercial and government payers in the US healthcare system. - Proficiency with Excel, payer portals, and contract management databases. - 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. Benefits - 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.

United States
$70K - $80K / year
Job Closed

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Manager, Compliance will be responsible for enhancing Ventra Health, Inc.’s (“Ventra”) compliance program and providing oversight and support of Ventra’s enterprise compliance policies, procedures, training programs, program initiatives, and controls to help ensure compliance with applicable laws, regulations, and Ventra’s internal policies and processes. - Draft, update, implement, manage, maintain, and enforce Ventra’s compliance plan and all relevant compliance policies and procedures. - Prepare compliance training materials, coordinate rollout of compliance training to new and existing employees and applicable contractors, and ensure completion of trainings by all applicable parties. - Assist with the development, implementation, and maintenance of Ventra’s auditing and monitoring program. - Coordinate rollout and training on new or updated policies and directives when required. - Help drive culture of compliance throughout the company, including implementation of compliance communication strategy. - Oversee the day-to-day management of Ventra’s compliance hotline and incident tracking system ensure proper documentation, investigation, and timely resolution of compliance matters. - Lead, manage, and/or participate in investigations for compliance incidents and issues. - Ensure accurate and timely reporting of compliance incidents to regulatory agencies and clients. - Conduct research on laws and regulations affecting the company. - Provide timely advice and assistance to colleagues and leadership in relation to compliance issues and inquiries. - Prepare materials for and participate in Compliance Committee meetings. - Report on compliance issues and incidents to Compliance Committee. - Collaborate with cross-functional teams, including People Team, Legal, and IT, to ensure alignment on compliance initiatives. - Support the enterprise-wide compliance program by assisting in global and local compliance-related projects and initiatives. - Ensure comprehensive documentation of compliance activities, including investigations, risk assessments, audits, and training records. Qualifications - Minimum of Bachelor’s Degree or equivalent. - At least 3 years’ management experience in healthcare compliance. - At least 5 years’ experience working in revenue cycle management, coding, or other healthcare operations. Experience in Radiology, Anesthesia, Emergency Medicine and/or Hospital Medicine is strongly preferred. - Working knowledge and experience with HIPAA, OIG compliance, U.S. healthcare fraud and abuse laws, and other country/local-specific compliance laws, regulations and requirements. Requirements - Understanding of compliance frameworks, risk management, and regulatory requirements. - Exceptional analytical and problem-solving abilities, including strong judgment skills. - Well-organized with excellent attention to details. - Strong ethical standards, with a commitment to fostering a culture of integrity and compliance. - Ability to read, understand, and apply state/federal laws, regulations, and policies. - Strong leadership/management skills to manage, motivate, and set expectations with team members. - Strong oral, written, and interpersonal communication skills. - Strong time management, organizational, and decision-making skills with the ability to prioritize tasks. - Proactive, responsive, and detail-oriented. - 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. - Ability to collaborate effectively across departments and work with diverse stakeholders. - 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 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.

United States
TOP70K - TOP150K / year
Job Closed

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Responsible for supporting payer contract development, analysis, and strategy execution to ensure optimal reimbursement and compliance with payer requirements. - Conduct contract negotiation discussions on behalf of clients with payers - Assist in reviewing, interpreting, and maintaining payer contracts and fee schedules - Support negotiation preparation by compiling rate comparisons and reimbursement trends - Identify and escalate contract discrepancies impacting payment performance - Collaborate with finance and AR teams to ensure payer terms are accurately reflected in billing systems - Maintain payer-related documentation, amendments, and communication logs - Provide input for payer performance reviews and support audits as needed - Participate in payer meetings or calls to support strategic initiatives Qualifications - High School Diploma or GED - At least two to four (2-4) years of medical billing and claims resolution experience preferred - AAHAM and/or HFMA certification preferred - Experience with offshore engagement and collaboration desired Requirements - Strong understanding of payer contracts, reimbursement methodologies, and healthcare compliance - Familiarity with commercial and government payers in the US healthcare system - Proficiency with Excel, payer portals, and contract management databases - 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

United States
Job Closed

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Contact Center Team Lead serves as a senior member of the Contact Center team and acts as the first line of support for Contact Center Specialists. This role assists Supervisors with day-to-day operations, training, and escalations while maintaining active participation in patient support activities. - Support service delivery by resolving complex issues, mentoring peers, monitoring queue performance, and promoting adherence to quality and productivity standards. - Balance leadership responsibilities with hands-on operational duties, expected to spend at least 50% of their time actively answering calls and assisting patients. - Provide operational direction and support to Contact Center Specialists but does not have formal supervisory authority. Essential Functions and Tasks - Serve as a subject matter expert (SME) on contact center systems, processes, and workflows. - Support Supervisors by handling escalated calls, emails, and complex inquiries requiring advanced problem-solving or cross-department collaboration. - Provide real-time guidance and support to Contact Center Specialists to ensure accuracy, empathy, and adherence to quality and compliance standards. - Conduct peer mentoring, side-by-side coaching, and participate in quality calibration sessions to ensure consistency in performance expectations. - Assist Supervisors with onboarding, refresher training, and the communication of new policies, procedures, and system updates. - Monitor call queues, service levels, and productivity dashboards; proactively identify performance trends or workflow issues and communicate findings to leadership. - Perform call audits and quality checks, providing feedback and actionable recommendations for improvement. - Compile and prepare reports or data summaries related to call volumes, service levels, and quality performance as requested. - Participate in process improvement efforts, contribute feedback and help develop new procedures to improve efficiency and patient satisfaction. - Collaborate with departments such as Quality Assurance, Training, and Workforce Management to address barriers impacting performance or patient experience. - Act as a positive role model and resource for peers, fostering teamwork, professionalism, and accountability. - Uphold confidentiality and compliance standards in accordance with company policy and applicable regulations. - Perform special projects and other duties as assigned. Qualifications - Associate’s degree (2 years) required; bachelor’s degree in business, Healthcare, or related field preferred. - Minimum of 2–3 years of experience in a healthcare contact center or similar high-volume customer service environment. - Prior experience serving as a senior agent, team lead or mentor preferred. Knowledge, Skills, and Abilities - Fluency in English, with strong verbal and written communication skills. - Deep understanding of patient billing, insurance processes, and Explanation of Benefits (EOBs). - Demonstrated ability to handle escalated calls with empathy, professionalism, and accuracy. - Proficiency with contact center technologies, CRMs, and Microsoft Office applications. - Strong analytical and problem-solving skills with attention to detail. - Ability to coach and mentor peers effectively. - Excellent organizational, time management, and multitasking abilities. - Ability to work collaboratively in a fast-paced environment while maintaining a positive, professional demeanor. - Flexibility to adapt to evolving business needs and process improvements. 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 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. 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. 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.

United States
Job Closed

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. 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! The Manager, Client Success is a liaison between Ventra Health and clients in terms of communication and information exchange; manage all aspects of the clients’ account to maximize collections, provide contracted management services, where applicable, and minimize problems. Works directly with a variety of stakeholders, including patients, doctors, owners, practice managers, administrators, and more to resolve escalated issues Conducts face-to-face meetings with clients to review performance and ensure satisfaction (in accordance with cadence and client success standards) Serves as the clients’ primary point of contact, collaborating with the internal team on issues for resolution, as needed, for timely follow-up communication with clients Facilitate external and internal meetings as required, including compiling, and taking minutes maintains other Client Success required documentation (Project Action Item Log, etc.) Reviews data at required frequency as defined by Client Success standards to monitor and escalate all steps in the operational workflow process are completed timely for clients as needed Prepares and/or reviews reports and ad-hocs for internal and external purposes Analyzes and monitors Client Success Metrics and presents client specific reports and utilizes the client issue escalation matrix internally as appropriate to resolve all client concerns Makes recommendations following appropriate channels for process improvement based on data review When Practice Administration services are utilized, collaborates with business management team (finance, HR, credentialing, and compliance) Monitors and/or manages client payor contract negotiations and/or renewals, in conjunction with Managed Care Team and/or assigned payor contracting resource, where applicable, in accordance with clients’ billing/management services agreement Manages and/or monitors clients’ quality program and compliance training, as required by clients’ contract and in conjunction with Subject Matter Experts within the organization. Assists with new client implementation Responsible for the oversight, mentorship, and growth of assigned Client Success colleagues, where applicable Compliance and adherence to applicable healthcare and security regulations and responsible for staff’s compliance and adherence Performs special projects and other duties as assigned High School Diploma or GED Bachelor’s Degree in business, healthcare management, or related field preferred At least three to five years (3-5) in healthcare, revenue cycle management, or related field Basic familiarity with medical billing and terminology 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 Ability to deliver high quality service excellence with high attention to detail Understand and comply with company policies and procedures Proven strong leadership/management skills to manage, motivate, and set expectations with team members Strong presentation development and delivery skills Strong knowledge in RCM, accounting, and/or finance Strong customer service and customer facing skills Strong judgment skills and problem-solving skills Strong oral, written, and interpersonal communication skills Strong time management, organizational, and decision-making skills Strong knowledge of Outlook and RCM software or equivalent workflow management software 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 . 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/.

United States
$58.4K - $83.2K / year
Job Closed

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