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21 Job openings at Ventra Health, Inc.
Associate Director, Quality Assurance

India

15 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: The 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/.

LMS Administrator

Perungudi, Chennai, Tamil Nadu

3 years

Not disclosed

On-site

Not specified

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: The 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. This role is for a 6-month 1099 contract. 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 [email protected] 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/.

Payment Posting Specialist

Coimbatore

0 years

INR 1.98 - 4.5 Lacs P.A.

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: The 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/.

LMS Administrator

India

3 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: The 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. This role is for a 6-month 1099 contract. 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/.

Accounts Receivable Specialist

India

0 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: The Accounts 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/.

API Test Engineer

Hyderābād

2 - 3 years

INR 2.0 - 8.6 Lacs P.A.

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Job Summary: We are looking for an experienced API Test Engineer to join our quality assurance team. As an API Tester, you will be responsible for ensuring the functionality, reliability, and performance of application programming interfaces (APIs) used in our software products. You will work closely with developers, product managers, and business stakeholders to validate the design and functionality of APIs and ensure they meet the required specifications. Essential Functions and Tasks: Design, develop, and execute test cases for RESTful APIs. Perform functional, performance, security, and regression testing on APIs. Write automated test scripts for APIs using tools like Postman or JMeter. Monitor and evaluate API responses, ensuring they meet performance and functional criteria. Collaborate with developers and product managers to identify and resolve issues. Report, track, and prioritize defects using bug-tracking tools (e.g., Azure DevOps). Perform integration testing to ensure smooth communication between different system components. Ensure compliance with API standards, guidelines, and best practices. Create and maintain test data to support API testing. Provide recommendations for improving the quality and efficiency of the testing process. Education and Experience Requirements: Bachelor's degree in Computer Science, Information Technology, or related field. 2-3 years’ experience in API testing (preferred) or Application Testing. 1-2 years’ experience in test automation. Certifications (good to have): ISTQB/ CSTE/ CSQA etc. Knowledge of API documentation tools like Swagger or RAML. Experience with CI/CD pipeline and tools (e.g., Jenkins, GitLab CI). Familiarity with cloud platforms (e.g., Azure ) and containerization (e.g., Docker ). Knowledge, Skills, and Abilities: Strong experience in API testing (REST). Proficiency in using API testing tools like Postman , SoapUI, JMeter, or similar. Knowledge of web technologies (HTTP, JSON , XML, RESTful architecture). Advanced Excel skills. Familiarity with automated testing frameworks (e.g., Selenium, RestAssured). Understanding of different types of testing such as functional, regression, load, and security testing. Ability to write SQL queries for database testing. Familiarity with version control systems like Git. Excellent problem-solving and analytical skills. Attention to detail and a passion for quality. 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. Knowledge of US Healthcare would be a great plus. 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/.

Trainer, Provider Enrollment

Perungudi, Chennai, Tamil Nadu

0 years

Not disclosed

On-site

Not specified

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The 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 incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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 [email protected] 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/.

Business Systems Analyst

Hyderābād

3 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Business Systems Analyst will be responsible for configuring and optimizing internal billing systems that support key revenue cycle management (RCM) workflows. This role demands a strong foundation in US healthcare operations, including provider enrollment, payer contracting, government insurance programs (Medicaid and Medicare), and system rules configuration. The analyst will serve as a subject matter expert (SME) in translating business requirements into system configurations and ensuring billing platforms align with regulatory and operational needs. Success in this role requires both technical aptitude and deep healthcare domain knowledge, along with the ability to collaborate effectively with Business Analysts, Quality Analysts, and other stakeholders across implementation and operations teams. Essential Functions and Tasks: Configure and maintain billing system components to support revenue cycle processes such as claims generation, eligibility verification, provider enrollment, and payment posting. Translate business and regulatory requirements into accurate and scalable system configurations. Set up payer-specific rules and workflows including Medicare, Medicaid, and commercial payer guidelines. Support provider credentialing and enrollment data setup within the system to ensure timely claims submission. Work closely with Business Analysts to gather requirements and identify configuration solutions that align with operational goals. Partner with Quality Analysts to validate and test system configurations prior to go-live. Identify areas for process improvement and propose system enhancements to improve billing accuracy and operational efficiency. Document system configurations, workflows, and processes in a clear and maintainable format. Participate in user acceptance testing (UAT) and support training efforts as needed. Stay informed on regulatory changes and industry trends impacting healthcare billing and payer requirements. Perform ongoing maintenance activities within billing systems, including provider enrollment updates, annual payer contract renewals, fee schedule updates, and other configuration changes to ensure continued alignment with regulatory and operational requirements. Education and Experience Requirements: Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, or a related field (or equivalent work experience). 3+ years of experience in a healthcare business systems analyst or billing systems configuration role. Strong experience with US healthcare revenue cycle management, including insurance verification, claim submission, payment posting, and denials management. Familiarity with government insurance programs such as Medicare and Medicaid. Experience configuring healthcare billing platforms or RCM systems (e.g., Epic, Athenahealth, Cerner, or other custom billing engines). Knowledge, Skills, and Abilities: Deep understanding of US healthcare payer-provider workflows and reimbursement models. Strong grasp of provider enrollment and payer contracting processes. Experience configuring billing rules, payer-specific workflows, and eligibility validation protocols. Strong problem-solving and analytical skills; ability to break down complex workflows into system logic. Proficiency with documentation tools and workflow diagrams. Excellent verbal and written communication skills, including the ability to communicate technical information to non-technical stakeholders. Collaborative mindset with a strong sense of ownership and accountability. Ability to manage multiple priorities 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 incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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/.

Quality Assurance, Implementation

Hyderabad, Telangana

4 years

None Not disclosed

On-site

Not specified

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The 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 incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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 [email protected] 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/.

Quality Assurance, Implementation

Hyderābād

4 years

INR 3.35 - 6.72 Lacs P.A.

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The 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 incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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, Provider Enrollment

Guindy, Chennai, Tamil Nadu

0 years

None Not disclosed

On-site

Not specified

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures. Monitor the quantity and accuracy of activities performed by subordinate staff. Development of work plans, develop and maintain performance standards associated with various functions. Expert knowledge and independent application of state and federal regulations governing healthcare. A high degree of applied knowledge of provider enrollment nuances. Staff training and assisting staff to resolve complex provider enrollment issues. Perform deep-dive audits of specific accounts, payers, or the work performed by an individual. Draft processes and procedures consistent with applicable regulations and/or specific payers. Interpretation of complex regulations and department procedural billing policies; and supervisor of subordinate staff. Essential Functions and Tasks: Supervise, train, and support provider enrollment staff responsible for licensing, provider enrollment, privileging, enrollment, reappointments and/or maintenance of professional credentials. Work with Provider Enrollment Manager to complete employee relation duties as necessary such as coaching, mentoring, corrective action, or similar. Review, edit, and process employee timecards, and schedules. Assist with or prepare annual performance reviews for provider enrollment staff. Send Medicare Revalidation reminders for all providers. Monitor held claims in AIMs/Work release emails for held claims. Conduct client calls to provide status updates on clients. Work with AR to research provider enrollment related denials. Work with Clean Claims to research provider enrollment related rejections. Ensure any questions regarding releases are answered in a timely fashion. Responsible for ensuring Medicare provider enrollment items are completed timely. Work with Client Management to provide support on client concerns and updates. Enrollment for special projects and provide additional support as needed. Meet staff for one-on-one touch base on performance/feedback concerns. Work with Payments for requested EFT enrollments/updates. Develop, maintain, and track various performance measures. Prepare status reports and perform special projects as required. Performs other related job duties as assigned. Education and Experience Requirements: High school diploma or equivalent required, college degree preferred. Two (2) years’ experience in supervision. Two (2) years’ experience in Provider Enrollment. Knowledge of NCQA standards as it relates to provider enrollment and health plan enrollment. Knowledge, Skills, and Abilities: Excellent verbal and written communication skills. Proficient in Microsoft Office Suite and proprietary database applications. Ability to use independent judgment and to manage and impart confidential information. Ability to multi-task, manage priorities and meet critical deadlines. Ability to work independently and in a fast-paced environment. High level of awareness of pertinent details; excellent organizational 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. 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 [email protected] 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/.

Provider Enrollment Specialist

India

0 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. This position is responsible for researching, resolving, and enrolling any payer issues, utilizing a variety of proprietary and external tools. This will require contacting clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website Essential Functions and Tasks: Performs follow-up with market locations to research and resolve payer enrollment issues Performs follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications Performs tracking and follow-up to ensure provider numbers are established and linked to the appropriate client group entity and proper software systems Maintains documentation and reporting regarding payer enrollments in process. Retains records related to completed CMS applications Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team Proactively obtains, tracks, and manages all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation Maintains provider demographics in all applicable enrollment systems Adds providers to all applicable systems and maintains information to ensure claims are held/released based on status of enrollment Performs special projects and other duties as assigned Education and Experience Requirements: High School diploma or equivalent At least one (1) year of provider enrollment experience preferred Knowledge, Skills, and Abilities: Working knowledge of specific application requirements for Centers for Medicare & Medicaid Services (CMS), State Medicaid and all third-party payers including pre-requisites, forms required, form completion requirements, supporting documentation such as Drug Enforcement Agency Number (DEA), Curriculum Vitae (CV), and regulations. Working knowledge of physician HIPAA Privacy & Security policies and procedures Strong oral, written, and interpersonal communication skills Strong word processing, spreadsheet, database, and presentation software skills Strong detail orientation skills Strong analytical skills Strong decision-making skills Strong problem-solving skills Strong organizational skills Strong time management skills Ability to ensure the complex enrollment packages are complete and correct Ability to work cohesively in a team-oriented environment Ability to foster good working relationships with others both within and outside the organization Ability to work independently and require little supervision, to focus on and accomplish tasks Ability to maintain strict confidentiality with regards to protected provider and health information Ability to take initiative and effectively troubleshoot while focusing on innovative solutions Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately Ability to remain flexible and work within a collaborative and fast paced environment Ability to communicate with diverse personalities in a tactful, mature, and professional manner Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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/.

Lead, Provider Enrollment

India

2 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Team Lead, Provider Enrollment plays a key leadership role in the Provider Enrollment department, acting as a mentor, subject matter expert, and operational resource for a team of enrollment specialists. This role supports the Supervisor and Manager by overseeing daily workflows, resolving escalated issues, and ensuring enrollment tasks are completed accurately and in a timely manner. The Team Lead works collaboratively across internal teams and with external payers to support efficient provider onboarding and compliance with payer requirements. Essential Functions and Tasks: Lead, mentor, and support a team of Provider Enrollment Specialists in their daily tasks and development. Assist with onboarding and training new team members; develop and maintain training materials and SOPs. Monitor daily workload queues to ensure timely completion of enrollment tasks and proper case prioritization. Serve as the first point of escalation for complex enrollment issues or payer communication delays. Perform advanced follow-up with CMS, Medicaid, and third-party payers to resolve issues and ensure timely application processing. Ensure the accurate submission, tracking, and follow-up of CMS Medicare, State Medicaid, and commercial payer applications. Audit provider enrollment records and documentation to ensure compliance with internal standards and external payer requirements. Partner with clients, market locations, operations personnel, and revenue cycle stakeholders to facilitate smooth provider onboarding and ongoing maintenance. Proactively manage payer revalidation schedules and ensure timely renewals to prevent lapses in enrollment or deactivation. Track and maintain documentation of enrollment activities in all applicable systems. Maintain up-to-date knowledge of payer rules, credentialing requirements, and regulatory changes impacting provider enrollment. Contribute to process improvement initiatives and help drive efficiency across the team. Perform special projects and other duties as assigned. Education and Experience Requirements: High School diploma or equivalent. 2+ years of experience in provider enrollment, credentialing, or payer relations within a healthcare or RCM environment. 1+ year of experience in a lead or supervisory role preferred. Knowledge, Skills, and Abilities: In-depth knowledge of CMS, State Medicaid, and commercial payer application requirements. Strong understanding of DEA, CV, NPI, CAQH, and other credentialing components. Working knowledge of HIPAA Privacy & Security policies. Exceptional oral and written communication skills. Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and credentialing software tools. Strong problem-solving, organizational, and analytical skills. Ability to balance multiple priorities, meet deadlines, and adapt to changing workflows. High attention to detail and commitment to accuracy. Collaborative, team-oriented mindset with a professional and tactful demeanor. Self-starter who can work independently while contributing to team goals. Ability to maintain strict confidentiality of sensitive provider and organizational data. Ability to ensure the complex enrollment packages are complete and correct. Ability to work cohesively in a team-oriented environment. Ability to foster good working relationships with others both within and outside the organization. Ability to work independently and require little supervision, to focus on and accomplish tasks. Ability to maintain strict confidentiality with regards to protected provider and health information. Ability to take initiative and effectively troubleshoot while focusing on innovative solutions. Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately. Ability to remain flexible and work within a collaborative and fast paced environment. Ability to communicate with diverse personalities in a tactful, mature, and professional manner. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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, Provider Enrollment

India

0 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Supervisor, Provider Enrollment is responsible for assisting with the day-to-day activities of the Provider Enrollment Department, act as the first line leader to staff, and contributes to the development of processes and procedures. Monitor the quantity and accuracy of activities performed by subordinate staff. Development of work plans, develop and maintain performance standards associated with various functions. Expert knowledge and independent application of state and federal regulations governing healthcare. A high degree of applied knowledge of provider enrollment nuances. Staff training and assisting staff to resolve complex provider enrollment issues. Perform deep-dive audits of specific accounts, payers, or the work performed by an individual. Draft processes and procedures consistent with applicable regulations and/or specific payers. Interpretation of complex regulations and department procedural billing policies; and supervisor of subordinate staff. Essential Functions and Tasks: Supervise, train, and support provider enrollment staff responsible for licensing, provider enrollment, privileging, enrollment, reappointments and/or maintenance of professional credentials. Work with Provider Enrollment Manager to complete employee relation duties as necessary such as coaching, mentoring, corrective action, or similar. Review, edit, and process employee timecards, and schedules. Assist with or prepare annual performance reviews for provider enrollment staff. Send Medicare Revalidation reminders for all providers. Monitor held claims in AIMs/Work release emails for held claims. Conduct client calls to provide status updates on clients. Work with AR to research provider enrollment related denials. Work with Clean Claims to research provider enrollment related rejections. Ensure any questions regarding releases are answered in a timely fashion. Responsible for ensuring Medicare provider enrollment items are completed timely. Work with Client Management to provide support on client concerns and updates. Enrollment for special projects and provide additional support as needed. Meet staff for one-on-one touch base on performance/feedback concerns. Work with Payments for requested EFT enrollments/updates. Develop, maintain, and track various performance measures. Prepare status reports and perform special projects as required. Performs other related job duties as assigned. Education and Experience Requirements: High school diploma or equivalent required, college degree preferred. Two (2) years’ experience in supervision. Two (2) years’ experience in Provider Enrollment. Knowledge of NCQA standards as it relates to provider enrollment and health plan enrollment. Knowledge, Skills, and Abilities: Excellent verbal and written communication skills. Proficient in Microsoft Office Suite and proprietary database applications. Ability to use independent judgment and to manage and impart confidential information. Ability to multi-task, manage priorities and meet critical deadlines. Ability to work independently and in a fast-paced environment. High level of awareness of pertinent details; excellent organizational 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. 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/.

Provider Enrollment QA Specialist

India

2 - 3 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management. Essential Functions and Tasks: Quality Assurance Oversight: Conduct thorough reviews and audits of provider enrollment applications, documents, and data to ensure accuracy, completeness, and compliance with regulatory requirements, payer policies, and organizational standards. Documentation Verification: Validate and authenticate provider credentials, licenses, certifications, and other required documents submitted during the enrollment process to ensure authenticity and compliance with regulatory and payer requirements. Application Processing: Facilitate the timely and accurate processing of provider enrollment applications, including data entry, verification, and submission to relevant regulatory bodies and insurance payers. Communication and Collaboration: Collaborate with internal stakeholders such as credentialing teams, provider relations, billing departments, and external parties including providers, insurance companies, and regulatory agencies to resolve enrollment-related issues, discrepancies, and inquiries. Policy Adherence: Stay updated on changes to healthcare regulations, payer enrollment guidelines, and industry best practices to ensure compliance and adherence to applicable standards in provider enrollment processes. Quality Improvement Initiatives: Identify opportunities for process improvement, efficiency enhancement, and quality enhancement in provider enrollment workflows. Propose and implement strategies to streamline processes, reduce errors, and optimize productivity. Training and Education: Provide training, guidance, and support to internal staff involved in provider enrollment activities to ensure understanding of policies, procedures, and compliance requirements. Reporting and Documentation: Maintain accurate records, documentation, and audit trails of provider enrollment activities. Generate reports, analyze data, and track key performance indicators to monitor compliance, identify trends, and support decision-making. Education and Experience Requirements: Bachelor's degree in any related field. Minimum of 2-3 years of experience in healthcare provider enrollment, credentialing, or related areas. Experience in quality assurance, auditing, or compliance roles is highly desirable. Knowledge, Skills, and Abilities: In-depth understanding of healthcare regulations, accreditation standards, and payer enrollment requirements (e.g., Medicare, Medicaid, commercial insurers). Familiarity with enrollment software systems and databases is a plus. Strong attention to detail and accuracy in reviewing and verifying provider credentials, documents, and data. Proficiency in data analysis, problem-solving, and critical thinking to identify discrepancies, trends, and opportunities for improvement. Excellent verbal and written communication skills to effectively communicate with internal and external stakeholders, including providers, payers, and regulatory agencies. Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment. Strong interpersonal skills and ability to work collaboratively as part of a team to achieve common goals and objectives. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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/.

Manager, Coding

Hyderābād

8 years

INR 2.0 - 6.9 Lacs P.A.

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: 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. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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/.

Snowflake Data Engineer

Hyderābād

4 years

INR 4.0 - 4.0 Lacs P.A.

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: We are seeking a Snowflake Data Engineer to join our Data & Analytics team. This role involves designing, implementing, and optimizing Snowflake-based data solutions. The ideal candidate will have proven, hands-on data engineering expertise in Snowflake, cloud data platforms, ETL/ELT processes, and Medallion data architecture best practices. The data engineer role has a day-to-day focus on implementation, performance optimization and scalability. This is a tactical role requiring independent data analysis and data discovery to understand our existing source systems, fact and dimension data models, and implement an enterprise data warehouse solution in Snowflake. This role will take direction from the Lead Snowflake Data Engineer and Director of Data Engineering for their work while bringing their own domain expertise and experience. Essential Functions and Tasks: Participate in the design, development, and maintenance of a scalable Snowflake data solution serving our enterprise data & analytics team. Implement data pipelines, ETL/ELT workflows, and data warehouse solutions using Snowflake and related technologies. Optimize Snowflake database performance Collaborate with cross-functional teams of data analysts, business analysts, data scientists, and software engineers, to define and implement data solutions. Ensure data quality, integrity, and governance. Troubleshoot and resolve data-related issues, ensuring high availability and performance of the data platform. Education and Experience Requirements: Bachelor’s or Master’s degree in Computer Science, Information Systems, or a related field. 4+ years of experience in-depth data engineering, with at least 1+ minimum year(s) of dedicated experience engineering solutions in an enterprise scale Snowflake environment. Tactical expertise in ANSI SQL, performance tuning, and data modeling techniques. Strong experience with cloud platforms (preference to Azure) and their data services. Experience in ETL/ELT development using tools such as Azure Data Factory, dbt, Matillion, Talend, or Fivetran. Hands-on experience with scripting languages like Python for data processing. Snowflake SnowPro certification; preference to the engineering course path. Experience with CI/CD pipelines, DevOps practices, and Infrastructure as Code (IaC). Knowledge of streaming data processing frameworks such as Apache Kafka or Spark Streaming. Familiarity with BI and visualization tools such as PowerBI. Knowledge, Skills, and Abilities: Familiarity working in an agile scum team, including sprint planning, daily stand-ups, backlog grooming, and retrospectives. Ability to self-manage medium complexity deliverables and document user stories and tasks through Azure Dev Ops. Personal accountability to committed sprint user stories and tasks Strong analytical and problem-solving skills with the ability to handle complex data challenges 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. Understand and comply with company policies and procedures. Strong oral, written, and interpersonal communication skills. Strong time management and organizational 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. 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/.

Coding Specialist

India

0 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Specialist is responsible for reviewing documents to identify all procedures and diagnosis. The Coding Specialist must ensure the encounters have been coded correctly based on documents received. The Coding Specialist must ensure encounters are coded 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. Essential Functions and Tasks: 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. Education and Experience Requirements: High School diploma or equivalent. RHIT and/or CPC required. At least one (1) year of medical billing preferred. 2023 MDM Guidelines required. Knowledge, Skills, and Abilities: 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 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. Compensation: Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies. Ventra Health: Equal Employment Opportunity (Applicable only in the US) Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions. Recruitment 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/.

Coding Denials Specialist

India

0 years

INR Not disclosed

On-site

Part Time

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Essential Functions and Tasks: Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. 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. Education and Experience Requirements: High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials. 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. 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. 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/.

Bank Reconciliation Coordinator

Coimbatore, Tamil Nadu

0 years

None Not disclosed

On-site

Not specified

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus! Job Summary: The Bank Reconciliation Coordinator will be responsible for creating a client deposit by scanning checks to the client’s bank and organizing resulting deposits with all checks and EOBs into a package to be scanned for the posting team. Essential Functions and Tasks: Obtain checks and EOBs received via US Mail. Separate checks from EOBs while maintaining integrity and organization of documents. Create calculator tape for total of checks to be deposited. Log into bank account on designated laptop. Scan checks in order of corresponding EOBs. Confirm all scanned checks balance to calculator tape. Create packet placing check with associated EOB for scanning to system. Upload final scanned package to document management system. Education and Experience Requirements: High School Diploma or equivalent. Two (2) years of experience posting insurance payments in a healthcare setting. Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred. 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 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. 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 [email protected] 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/.

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