- Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, 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.
- The Physician Quality Assurance (QA) Specialist is responsible for ensuring the accuracy and consistency of physician names on all billing documents and claims submissions. This role involves meticulous review and validation of physician names to prevent errors, discrepancies, and potential compliance issues. The QA Specialist collaborates with billing staff, healthcare providers, and coding professionals to maintain high standards of data integrity and compliance with regulatory requirements.
- Review and validate physician names on billing documents, including encounter forms, superbills, claims, and electronic health records (EHR).
- Verify that physician names are accurately spelled and consistently formatted according to established guidelines and standards.
- Identify and rectify discrepancies or variations in physician names to ensure accuracy and consistency across billing systems and documentation.
- Collaborate with billing and coding teams to address issues related to incorrect or incomplete physician names on billing documents.
- Conduct regular audits and quality checks to monitor compliance with physician name standards and identify opportunities for improvement.
- Provide guidance and training to billing staff on proper procedures for capturing and documenting physician names in billing records.
- Stay informed about changes in regulatory requirements and industry standards related to physician name documentation in healthcare billing.
- Document findings, recommendations, and actions taken to address physician name-related issues and maintain audit trail for compliance purposes.
- Strong attention to detail and accuracy in data verification and validation.
- Knowledge of medical terminology and familiarity with physician naming conventions.
- Understanding of healthcare billing processes, including encounter coding and claims submission.
- Experience in quality assurance, medical billing, or healthcare administration preferred.
- Proficiency in using billing software, electronic health records (EHR), and other healthcare information systems.
- Excellent communication and interpersonal skills for collaborating with multidisciplinary teams.
- Ability to work independently and prioritize tasks effectively in a fast-paced environment.
- Commitment to upholding confidentiality and privacy standards in handling sensitive healthcare information.
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Provider Enrollment Specialist
3 araw ang nakalipas
Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Customer Service QA Specialist
3 araw ang nakalipas
Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Pre-Bill Specialist
1 linggo ang nakalipas
Ventra Health Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Medical Billing Specialist
3 araw ang nakalipas
Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Payroll Specialist
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Payment Posting Specialist
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Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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CX Specialist
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CX Specialist
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Slingshot Outsourcing Philippines, Central Luzon, Pilipinas Buong orasWe are looking for Customer Experience (CX) Specialists for Nanoleaf who are expected to process tickets via Zendesk and/or help customers who contact the brand via their website chat platform. · WHO SHOULD APPLY: · 1. Those with previous relevant experience in outsourced custome ...
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SEO Specialist
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Collections Turnover Specialist
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Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Medical Billing Specialist
3 araw ang nakalipas
Ventra Health Central Luzon, Philippines, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Pre-Bill QA Specialist
3 araw ang nakalipas
Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Aprio PH
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Talent2Win Perú Philippines, Central Luzon, Pilipinas Buong orasWork with a nationally ranked CPA and advisory firm that is passionate for what's next. Aprio has 22 U.S. office locations, one in the Philippines and more than 2,100 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding ...
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System Administrator
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Technology Elite Central Luzon, Pilipinas Buong orasSystem Administrator / Server Specialist · Job Location · Clark, Pampanga · The Managed Services team is dedicated to overseeing, maintaining, supporting, and advising on our client's IT systems and infrastructure. This team delivers comprehensive IT Lifecycle services aligned ...
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Supervisor, Collections Turnover
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Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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Follow Up Specialist
3 araw ang nakalipas
Ventra Health Philippines, Central Luzon, Pilipinas Buong orasVentra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, and now radiology, through the recent combining of forces with Advocate RCM. Focused on Revenue Cycle Management and Advisory services, Vent ...
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SEO Specialist
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Australian Outsource Desk Inc Central Luzon, Philippines, Pilipinas Buong orasQualifications · At least 2 years experience as SEO Specialist · Strong understanding of SEO on-page and off-page · Excellent written and verbal communication skills · Experience with content management systems (CMS) such as WordPress, Joomla, or Drupal, and basic HTML/CSS knowle ...
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Patient Care Specialist
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Software Support Specialist
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Technology Elite Inc Central Luzon, Other - Philippines, Pilipinas Buong orasWe will reach-out to you via your email address provided in your resume. Please make sure to check your email in the next 2-3 business days. · Salary:Ââ'±40,000 – â'±60,000 per month · Work Arrangement: Onsite to report in Clark, Pampanga · * Two-week FREE Accommodation for thos ...
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Aprio Philippines, Central Luzon, Pilipinas Buong orasWork with a nationally ranked CPA and advisory firm that is passionate for what's next. Aprio has 22 U.S. office locations, one in the Philippines and more than 2,100 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding ...
Provider QA Specialist - Philippines, Central Luzon, Pilipinas - Ventra Health
Paglalarawan
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