Healthcare Document Processing Specialist

Job Summary

The Correspondence Specialist is responsible for the research and proper handling of incoming correspondence.

Essential Functions and Tasks

• Works in a variety of work queues servicing multiple clients on claim rejections, duplicate claims, records, and bills.
• Resolves patient billing issues.
• Explains policies and procedures clearly and concisely. Research, resolves, and documents incoming correspondence.
• Evaluates incoming concerns and returns acknowledgement in the appropriate medium (email, telephone, etc.).
• Performs special projects and other duties as assigned.

Education and Experience Requirements

• High School Diploma or Equivalent.
• One (1) year of customer service experience in a high volume, fast paced environment. Healthcare customer service experience preferred.

Knowledge, Skills, and Abilities

• Knowledge of the Explanation of Benefits.
• Knowledge of a variety of insurance plans.
• Knowledge of ICD-10 and CPT Codes.
• Strong word processing, spreadsheet, database, and presentation software skills.
• Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals.
• Strong oral, written, and interpersonal communication skills.
• Strong time management skills.
• Strong organizational skills.
• Ability to handle and resolve escalated calls and correspondence.
• 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.

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 View email address on click.appcast.io to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on

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