ERA Exceptions Posting 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.

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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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• The ERA Exceptions Posting Specialist is responsible for researching claim payments as explained in an Electronic Remittance Advice (ERA). These exceptions will be researched and refiled by an appropriate deadline. ERA Exceptions Posting Specialist must comply with applicable laws regarding billing standards and be able to operate in a team-oriented environment that strives to provide superior service to Ventra Health clients throughout the country.
• Processes electronic 835’s and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, contractual allowances, recoups and forward balancing.
• Interprets Explanation of Benefits (EOB) remittance codes and applies correct denial codes.
• Balances and closes payment batches timely.
• Navigate websites to obtain EOBs.
• Performs special projects and other duties as assigned.
• High School Diploma or Equivalent.
• Two (2) year of experience posting insurance payments in a healthcare setting.
• Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.
• Knowledge of insurance payer types.
• Knowledge of Explanation of Benefits (EOB) statements.
• Strong balancing and reconciliation skills.
• Strong 10 Key calculator skills.
• Strong oral, written, and interpersonal communication skills.
• Strong mathematical skills.
• Strong time management skills.
• Strong organizational 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.