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.

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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

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Job Summary

The Self Pay Specialist role will be r esponsible for placing outbound calls to collect healthcare account balances due from guarantors . In this role the Specialist will also be responsible for answering a variety of incoming calls , Outbound a nd incoming calls will be tied to patient accounts and will require taking resolution steps that may include discussion of insurance coverages, explanation s of insurance benefit s, and payment plan arrangements .

Essential Functions And Tasks

Drive guarantor collections
Provide exceptional customer service while using account resolution skills when engag ed with all patients who contact Ventra by telephone or other means of communication
Troubleshoot billing inquiries, explain insurance benefit coverages, and articulate course of action steps and likely resolution timeframes .
Ensure proper system documentatio n to accurately and thoroughly summarize encounters with callers and action steps taken for account resolution
Collaborate with other internal departments to research insurance denials , billing obstacles , missing payments, payment refunds, or attorney requests.
Perform special projects and other duties as assigned.

Education And Experience Requirements

Associate's degree (2 years) required w ith bachelor's degree in any related field preferred.
One (1) year of call center customer service experience in a high volume, fast paced environment
Healthcare call center experience is preferred
Experience with soft telephone collection skills is also preferred

Knowledge, Skills, And Abilities

Fluency in English
Basic knowledge of US health insurance coverages and benefits
Basic knowledge of standard insurance documents such as an explanation of benefits (EOB)
Strong foundation of computer skills that include s navigating spreadsheets and use of Microsoft Office software applications such as Word, Outlook and Teams.
Strong math skills in addition, subtraction, multiplication , division, fractions and percentages
Strong oral, w ritten and interpersonal skills
Strong time management skills and habits
Strong organizational skills and habits
Ability to adhere to standards and quality guidelines
Ability to understand, analyze, interpret and explain complex documents
Ability to work in a team environment
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 telephone, internet, copier, fax, and scanner .
Understand and comply with company policies and procedures .

Physical Demands:

40 hours per week
Occasional Standing
Occasional Walking
Sitting for prolonged periods of time
Pushing and pulling movements - rarely
Occasional Reaching -rarely
Bending, twisting, and stooping - rarely
Frequent hand, finger movement
Use equipment such as copy, fax, and postage
Communicate verbally and in writing
Lift and/ or move up to 15 - 20 pounds
Extensive use of computer keyboard and viewing of computer screen
Specific vision abilities required by this job include close vision

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 incentiv e bon us in accordance with company policies .

Ventra Health

Ventra Health Values:

Excellence :

Encourage and promote excellence in partnering with and delivering results to our clients .

Accountabilit y:

Accept responsibility for achievement of objectives and key results and be answerable for outcomes.

Teamwork :

Embrace the power of one team to create and deliver value to clients by delivering consistent outcomes.

Growth:

Provide consistent opportunities for colleagues to expand their capabilities & knowledge.

Transparency :

Openly share ideas and information to promote trust, increase engagement and gain new perspectives.

Inclusiveness & Diversity :

Embrace and celebrate diversity and promote an environment of inclusiveness .

Recognition :

Acknowledge, embrace and celebrate colleague contributions that align with the company vision.

Compliance:

Ensure enterprise-wide adherence to regulatory requirements, ethical standards, and best practices 

Authority:

This position does not have the authority; neither express nor implied, to legally bind the Ventra Health to any contract or other legal obligation without written delegation by an officer of the Ventra Health.

Attendance:

Colleague must have the ability to co mply with Ventra Health's attendance policy documented in the Ventra Health Colleague Handbook. Regular and predictable attendance as an essential function of the job.

Physical Requirements and Work Environment:

The colleague will work in smoke-free office surrounding ; noise level is quiet to moderate.

The qualifications, physical demands and work environment described herein are general in nature and representative of those colleague s will encounter and must meet to successfully perform the essential functions of this job . Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions . The requirements listed in this document are the minimum levels of knowledge, skills , and abilities.

This document does not create an employment contract, implied or otherwise, other than

an at will relationship.