Ventra Health · 2 days ago
Billing Escalation Specialist
United States
Full-time
Remote
Entry Level
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Responsibilities
Establish and maintain security of medical records to ensure patient confidentiality on an ongoing basis.
Review patient records on a daily basis for accuracy, supply any missing information and ensure compliance with company policy and government regulations.
Access patient records as needed for review by other staff members.
Follow professional standards and meet requirements of local, state and federal regulations
Encode information accurately from scanned medical images.
Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
Reviewing patient bills for accuracy and completeness and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Qualification
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Required
Establish and maintain security of medical records to ensure patient confidentiality on an ongoing basis.
Review patient records on a daily basis for accuracy, supply any missing information and ensure compliance with company policy and government regulations.
Access patient records as needed for review by other staff members.
Follow professional standards and meet requirements of local, state and federal regulations.
Encode information accurately from scanned medical images.
Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
Reviewing patient bills for accuracy and completeness and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Ability to multitask.
Accuracy and attention to detail.
Communication and interpersonal skills.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Familiarity with CPT and ICD-10 Coding.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with insurance phone specialists regarding medical claims and payments.
Ability to work well in a team environment.
Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
Problem-solving skills to research and resolve discrepancies, denials, and appeals.
A calm manner and patience working with insurance phone specialists when inquiring about claim status.
Knowledge of medical terminology likely to be encountered in medical claims.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Company
Ventra Health
“Ventra Health is a revenue cycle management organization serving hospital-based provider.
Founded in 2021
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Steve Giovanni
Chief Technology Officer
Chad Turner
Chief Growth Officer
Recent News
Company data provided by crunchbase
