Quality Assurance, Implementation
Quality Assurance, Implementation
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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.
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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 Quality Analyst (QA) Implementations will play a critical role in the client onboarding and implementations team focusing on ensuring the accuracy consistency and completeness of healthcare data integrations and billing system configurations. This position involves performing rigorous QA checks on data feeds received from various healthcare facilitiesincluding patient demographics medical records and provider schedulesin multiple formats as well as validating billing system setup for new clients. The ideal candidate will possess a strong understanding of the US healthcare domain and revenue cycle management (RCM) processes with an emphasis on data integrity and system quality assurance.
Essential Functions and Tasks
- Perform detailed quality assurance reviews of inbound healthcare data feeds from client facilities ensuring proper formatting data integrity and alignment with system specifications.
- Validate the successful ingestion and transformation of data into internal billing systems.
- Conduct end-to-end QA of system configuration for new client onboardings ensuring alignment with contract requirements and billing workflows.
- Collaborate with Business Analysts Developers and Billing Teams to troubleshoot and resolve data issues and configuration mismatches.
- Document defects inconsistencies and improvement opportunities in a clear and actionable manner.
- Develop and maintain QA documentation including test cases checklists and standard operating procedures (SOPs).
- Participate in client requirement gathering and technical walkthroughs to understand scope and impact of onboarding requirements.
- Ensure compliance with data privacy and healthcare regulations (e.g. HIPAA).
- Assist in continuous improvement initiatives across QA processes to increase efficiency and reduce errors.
Education and Experience Requirements
- Bachelors degree in health information management Computer Science Information Systems or a related field (or equivalent work experience).
- 4 years of experience in a QA role preferably within the US healthcare or revenue cycle management (RCM) domain.
- Experience working with healthcare data EMRs/EHRs or medical billing systems.
- Prior involvement in client onboarding or implementation projects is highly desirable.
Knowledge Skills and Abilities
- Strong knowledge of US healthcare workflows and terminology especially around patient data medical records and billing processes.
- Understanding of revenue cycle management (RCM) and payer-provider dynamics.
- Proficiency in QA methodologies tools and best practices (e.g. test plans data validation defect tracking).
- Familiarity with healthcare data formats such as HL7 CCD/C-CDA CSV or JSON.
- Hands-on experience with billing systems and/or implementation platforms.
- Exceptional attention to detail and analytical thinking.
- Excellent communication skillsable to convey technical issues to non-technical stakeholders.
- Strong organizational and documentation skills.
- Ability to work independently in a fast-paced deadline-driven environment.
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 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
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