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    Pre-Bill Specialist - Central Luzon, Pilipinas - Ventra Health

    Ventra Health
    Ventra Health Central Luzon, Pilipinas

    1 linggo ang nakalipas

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    Buong oras
    Paglalarawan
    • 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.

    Job Summary

    • The Pre-Bill Specialist is responsible for the first steps in the billing process. The Pre-Bill Specialists are assigned a set of edits, and they are responsible for ensuring that all claims are released to the payors and move through the front-end workflow within Ventra's set standards. The Pre-Bill 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 our providers throughout the country.

    Essential Functions And Tasks

    • Monitor intake processes and verify that all TES, CAR, and Claim Edits are worked daily.
    • Assist colleagues with escalation resolution.
    • Provide feedback and training to other colleagues surrounding front end processes.
    • Request and log missing information from clients.
    • Assist with resolution of possible overlaps that other colleagues are not able to address.
    • Performs special projects and other duties as assigned.

    Education And Experience Requirements

    • High School Diploma or GED.
    • At least one (2) year in data entry and medical billing 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.

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