Requisition Posting Title Registration/Eligibility Edits Specialist

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. Perform 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. 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. Equal Employment Opportunity 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. #J-18808-Ljbffr Ventra Health, Inc.