Credit Resolution Escalation Specialist

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Ventra Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Ventra Health is a healthcare revenue cycle management (RCM) company that provides end-to-end medical billing, coding, claims management, denial prevention, payer contracting, and collections services for hospitals, health systems, and physician practices across the U. S. Its offerings combine domain expertise and white‑glove client service with proprietary data and AI-powered platforms—vCision (AI & automation) and vSight (data & analytics)—to improve reimbursement, reduce denials, accelerate cash collections, and deliver measurable RCM performance improvements. Ventra emphasizes enterprise service delivery, provider education, compliance and coding audits, patient responsibility management, and payer strategy, serving thousands of providers and facilities nationwide.

📋 Description

• Monitor and resolve credit balances and refunds from billing system overages escalated from the Credit team. • Develop a plan to complete daily work lists by the end of each day. • Review refund request letters and determine appropriate resolutions based on contracts and timely guidelines. • Identify trends and notify appropriate departments. • Send check registers to Client Success or Finance for approval. • Obtain check numbers from clients and upload them into the system so credits can be cleared. • Research and correct returned refund checks. • Analyze data from various reports and make recommendations. • Perform special projects and other assigned duties. • Comply with applicable billing laws and provide service to providers nationwide in a team-oriented environment.

🎯 Requirements

• 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 Explanation of Benefits (EOB) statements. • Knowledge of a variety of insurance plans. • Strong oral, written, and interpersonal communication skills. • Strong word processing, spreadsheet, and database software skills. • Strong mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimal. • Strong time management skills. • Strong organizational skills. • Ability to read, understand, and apply state/federal laws, regulations, and policies. • Ability to take initiative and effectively troubleshoot while focusing on innovative solutions. • 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.

🏖️ Benefits

• Performance-based incentive plan • Discretionary incentive bonus • Referral bonus • Reasonable accommodations for qualified individuals with disabilities