- 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 Supervisor, Physician Name Quality Assurance oversees a team responsible for ensuring the accuracy and consistency of physician names on all billing documents and claims submissions within the healthcare organization. This role involves leading quality assurance efforts, providing guidance to staff, and implementing best practices to maintain high standards of data integrity and compliance with regulatory requirements.
- Provide leadership, direction, and support to the physician's name QA team, including training, mentoring, and performance management.
- Foster a culture of accountability, collaboration, and continuous improvement within the QA team.
- Develop and implement policies, procedures, and guidelines for verifying and validating physician names on billing documents.
- Conduct regular audits and quality checks to monitor compliance with physician name standards and identify opportunities for process improvement.
- Review audit findings, identify root causes of discrepancies or errors, and implement corrective actions as needed.
- Provide training and ongoing education to QA staff on proper procedures for capturing, documenting, and validating physician names in billing records.
- Keep staff updated on changes in regulatory requirements, industry standards, and best practices related to physician name documentation in healthcare billing.
- Collaborate with billing, coding, and clinical staff to address issues related to physician name accuracy and consistency in billing documents.
- Communicate effectively with stakeholders to convey QA findings, recommendations, and action plans for improving physician name documentation processes.
- Analyze QA data and metrics to evaluate the effectiveness of physician name documentation processes and identify areas for enhancement.
- Prepare regular reports and presentations summarizing QA findings, trends, and performance metrics for management review.
- Bachelor's degree in any related field; advanced degree preferred.
- Minimum of 5 years of experience in healthcare billing, revenue cycle management, or quality assurance, with one (1) year in a supervisory or leadership role.
- Strong knowledge of medical terminology, physician naming conventions, and healthcare billing practices.
- Proficiency in using billing software, electronic health records (EHR), and other healthcare information systems.
- Excellent analytical skills and attention to detail for conducting QA audits and data analysis.
- Effective communication and interpersonal skills for leading a team and collaborating with stakeholders.
- Ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines in a dynamic healthcare environment.
- Commitment to upholding confidentiality, privacy, and compliance standards in handling sensitive healthcare information.
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Supervisor, Provider QA - Philippines, Central Luzon, Pilipinas - Ventra Health
Paglalarawan
Supervisory Leadership:
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