• Job Description

  Req#: 4947

  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 Refund Manager is responsible for the for the daily operations of the Credit Balance & Refunds department

  Essential Functions and Tasks

  • Supervises and trains assigned staff, including 1-2 supervisors, ensures performance appraisals are conducted, makes employment and discipline recommendations, and coordinates work assignments
  • Manages credit balance inventory to ensure credit balances and refund requests are resolved within expected turnaround times for both patient and insurance refund inventory
  • Track trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements
  • Tracks, maintains, and monitors employee metrics and ensures quality audits are completed timely and consistently
  • Interacts with clients and Client Success teams by answering inquiries, providing credit balance reports, project updates, etc
  • Participates in development and delivery of employee training courses and materials

  Education and Experience Requirements

  • Bachelor’s degree in Healthcare, Business, Finance, or similar is preferred. Experience can be substituted for education, or a combination thereof
  • Four (4) years of revenue cycle experience, with emphasis in Cash Applications, AR, or Denials
  • Four (4) years of experience working with commercial, government, and third party liability insurances; a strong working knowledge of payer adjustments and remark codes is required
  • Two (2) years of direct experience with coordination of benefits, refunds, and Medicare reporting preferred
  • Two (2) years of supervisory/management/leadership experience is required
  • Experience with EMR optimization, systems enhancement, and/or Centricity Business is preferred

  Knowledge, Skills, and Abilities

  • Experience processing electronic and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, and contractual allowances
  • Strong working knowledge of department roles and responsibilities
  • Ability to learn and work in multiple systems
  • Strong supervisory/management skills
  • Strong oral, written, and interpersonal communication skills
  • Strong word processing, spreadsheet, database, and presentation software skills
  • Strong financial analytics background
  • Ability to draft SOPs and department policies
  • Strong interpersonal skills
  • 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

  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 AgenciesVentra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes. Solicitation of PaymentVentra Health does not solicit payment from our applicants and candidates for consideration or placement.

  Attention CandidatesPlease 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 Services. These 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 Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

  Statement of AccessibilityVentra 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 https://ventrahealth.com/statement-of-accessibility/.

• About the company

  Ventra Health is a top healthcare revenue cycle management company established when Abeo, DuvaSawko, & Gottlieb merged.

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