Correspondence Escalation Specialist

Ventra Health, Inc.•Fort Worth, TX

21h•Onsite

About The Position

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, 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. As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards. Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Requirements

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

Nice To Haves

Healthcare customer service experience preferred.

Responsibilities

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.