Credits Support Specialist

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.

• Come Join Our Team!

  • 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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Supports the credit balance team by performing research validation and refund processing tasks in compliance with organizational and payer standards.

• Review and validate credit balance reports for accuracy and completeness.

• Prepare refund recommendations and coordinate with finance for disbursement.

• Assist in tracking refunds and maintaining audit-ready documentation.

• Communicate with payers or internal departments for credit resolution updates.

• Update system notes and trackers for all processed items.

• Identify discrepancies and escalate issues as for resolution.
  

• High School Diploma or GED.

• At least two to four (2-4) years of medical billing and claims resolution experience preferred

• AAHAM and/or HFMA certification preferred

• Experience with offshore engagement and collaboration desired

• Knowledge of credit balance workflows and payer refund procedures.

• Strong attention to detail and documentation accuracy.

• Basic Excel and reporting skills preferred.

• Become proficient in the use of billing software within 4 weeks and maintain proficiency

• 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 a computer telephone internet copier fax and scanner

• Basic touch 10 key skills

• Basic Math skills

• Understand and comply with company policies and procedures

• Strong oral written and interpersonal communication skills

• Strong time management and organizational skills

• Strong knowledge of Outlook Word Excel (pivot tables) and database software skills

• 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.

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
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