Manager, Intake
Manager, Intake
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Job Description
About Us
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.
Job Summary
- The Manager Intake is responsible for the daily Intake operations. Supervises employee production for the precoding insurance and demographics exceptions team and Front End workflows production support team. Manages work queues workload timely receipt of files from facilities and clients colleagues meeting quota shifts work assignments based on priorities and absences and ensures client closing month end deadlines are met
Essential Functions and Tasks
- Manages Front End Workflow production support Intake exception and Crosswalk & Insurance Maintenance operations; recruits selects orients trains coaches counsels and disciplines colleagues. Plans monitors appraises and reviews colleagues job contributions. Implements cross functional training and succession planning as allowable
- Tracks maintains and monitors colleagues metrics. Tracks trends to monitor opportunities for enhancements innovative solutions and continuous process improvements with the goal of not having to manually touch files or exceptions.
- Participate in implementations issue resolution and application programming as needed for new and existing clients
- Finds patterns and maps insurance for all new and existing facilities within system
- Provide feedback on HL7 & flat file demographic data that creates exceptions
- Reduces daily exceptions in active facilities by reviewing Insurance crosswalk code
- Participates in development and delivery of colleague QA training courses and materials
- Conducts Quality Assurance (QA) on new and existing Crosswalk and exceptions
- Monitors team email activity to ensure clients/facility contacts get prompt accurate service. Interjects where needed and guides colleagues on missed emails or responses that are inappropriate.
- Responsible to ensure SmartSheets are kept up to date with accurate facility workflow information.
- Uses SQL to dig into datasets to uncover trends that need correcting in data feeds
- Closely monitors system (Horizon) specifically the Intake Workflow Queue and Intake Reconciliation pages for gaps in data we need to chase down.
- Hosts/attends meetings to obtain missing data timely (time sensitive task)
- Responds to PST alerts in HubSpot
- Collaborates with fellow colleagues on the Centricity side of the EM/HM Division to find root cause of what Horizon is sending CB that does not yield a clean claim. Specifically potential bad crosswalks or incorrect user actions that need to be corrected. Serves as host for such meetings and create triages for asks for changes and/or rules to be added to ensure data hits Centricity clean.
- Ensures compliance with Close of Business (COB) rule Workers Compensation (WC) and auto laws as they relate to insurance billing
- Performs special projects and other duties as assigned
Education and Experience Requirements
- High School Diploma or GED
- At least two (2) years of experience handling patient health information and/or medical records preferred
- At least six (6) months of supervisory/leadership experience preferred
Knowledge Skills and Abilities
- Strong follow up skills using tools such as Outlook SmartSheets and Hubspot.
- Working knowledge of the front-end process for each facility
- Working knowledge of medical terminology anatomy and physiology legal aspects of health information
- Knowledge of different files: log demographics medical records
- 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
- Ability to deliver high quality service excellence with high attention to detail
- Understand and comply with company policies and procedures
- Strong oral written and interpersonal communication skills
- Strong time management organizational and decision-making skills
- Strong knowledge of Outlook Smartsheet Excel and database software skills
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 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 to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at Experience:
Manager
Employment Type
Unclear
Key Skills
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