Current jobs related to Provider Enrollment QA Specialist - Mabalacat, Central Luzon - Ventra Health, Inc.
-
QA Specialist
2 weeks ago
Mabalacat, Central Luzon, Philippines Aboitiz Foods Full time ₱900,000 - ₱1,200,000 per yearCompany DescriptionCompany Description Pilmico Foods Corporation is the integrated agribusiness and food company of Aboitiz Equity Ventures Inc. (AEV). Composed of four divisions: Flour, Feeds & Animal Health, Farms, and Trading, we are well positioned at the beginning of the value chain. True to our brand promise of being Partners for Growth, we...
-
QA Specialist
2 weeks ago
Mabalacat, Central Luzon, Philippines Aboitiz Foods Full timeJob DescriptionJD Meats QA SpecialistImplements and maintains all food safety related strategies, policies and proceduresMaintains open communication with all related departments to address the identification of food safety hazards and process improvement opportunities.Implements HACCP Plan and pre-requisite programs.Performs HACCP monitoring to include but...
-
Contact Center QA Specialist
2 weeks ago
Mabalacat, Central Luzon, Philippines Ventra Health, Inc. Full timeAbout UsVentra 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...
-
Senior QA Engineer
2 weeks ago
Mabalacat, Central Luzon, Philippines CC Full timeClient DetailsOur client is a rapidly growing Series A funded fintech company in the payment industry. They are expanding their operations by launching an engineering hub in Southeast Asia and have chosen us as their trusted partner to make it happen.ResponsibilitiesTest Plan Development: Senior QA Engineers lead in developing comprehensive test plans.Test...
-
QA/QC Engineer
2 weeks ago
Mabalacat, Central Luzon, Philippines AC TECHNICAL SERVICES INC. Full time ₱19,000 - ₱28,000 per yearHiring : QA/ QC Electrical EngineerLocated at: OCC Bldg. Mabalacat, PampangaJOB SUMMARY: (In a few lines, describe the over-all job or function of the position)The QA/QC Engineer, is responsible for ensuring overall quality assurance and quality control of all site-installed electrical and auxiliary layouts. Under the supervision of the Project Manager, the...
-
Credentialing Expert
7 days ago
Mabalacat, Central Luzon, Philippines beBeeCredentialing Full time $70,000 - $77,000Job Description:We are seeking a skilled Credentialing Specialist to oversee the credentialing and enrollment processes for healthcare providers practicing in Maryland. This role will be responsible for ensuring compliance with state and federal regulations, as well as specific payer requirements.The ideal candidate will have prior experience in healthcare...
-
Software Quality Assurance Specialist
7 days ago
Mabalacat, Central Luzon, Philippines beBeeQuality Full time ₱800,000 - ₱1,000,000Job Title: Software Quality Assurance SpecialistWe are seeking a skilled Software Quality Assurance Specialist to join our team. This role involves collaborating with cross-functional teams to ensure the highest quality software products.The successful candidate will have experience in testing complex software systems, creating detailed test plans, and...
-
Pre-Bill QA Specialist
2 weeks ago
Mabalacat, Central Luzon, Philippines Ventra Health, Inc. Full timeVentra 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...
-
High-Quality Content Specialist
7 days ago
Mabalacat, Central Luzon, Philippines beBeeContent Full time ₱750,000 - ₱1,050,000QA Content SpecialistWe're seeking a meticulous QA Content Specialist to ensure our written content meets the highest standards of accuracy, tone, and brand consistency. In this role, you'll combine copywriting skills with a rigorous quality assurance process to guarantee every piece of content is error-free, engaging, and performance-driven.This is a...
-
Mabalacat, Central Luzon, Philippines beBeeTechnical Full time ₱7,000,000 - ₱9,600,000Job Title: Technical Support and Quality Assurance Specialist">We are seeking a highly skilled Technical Support and Quality Assurance Specialist to join our team. This role combines technical support and quality assurance, ensuring our customers receive excellent support while our app maintains the highest level of reliability.The ideal candidate will have...
Provider Enrollment QA Specialist
1 month ago
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.
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus
- As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management.
- Quality Assurance Oversight: Conduct thorough reviews and audits of provider enrollment applications, documents, and data to ensure accuracy, completeness, and compliance with regulatory requirements, payer policies, and organizational standards.
- Documentation Verification: Validate and authenticate provider credentials, licenses, certifications, and other required documents submitted during the enrollment process to ensure authenticity and compliance with regulatory and payer requirements.
- Application Processing: Facilitate the timely and accurate processing of provider enrollment applications, including data entry, verification, and submission to relevant regulatory bodies and insurance payers.
- Communication and Collaboration: Collaborate with internal stakeholders such as credentialing teams, provider relations, billing departments, and external parties including providers, insurance companies, and regulatory agencies to resolve enrollment-related issues, discrepancies, and inquiries.
- Policy Adherence: Stay updated on changes to healthcare regulations, payer enrollment guidelines, and industry best practices to ensure compliance and adherence to applicable standards in provider enrollment processes.
- Quality Improvement Initiatives: Identify opportunities for process improvement, efficiency enhancement, and quality enhancement in provider enrollment workflows. Propose and implement strategies to streamline processes, reduce errors, and optimize productivity.
- Training and Education: Provide training, guidance, and support to internal staff involved in provider enrollment activities to ensure understanding of policies, procedures, and compliance requirements.
- Reporting and Documentation: Maintain accurate records, documentation, and audit trails of provider enrollment activities. Generate reports, analyze data, and track key performance indicators to monitor compliance, identify trends, and support decision-making.
- Bachelor's degree in any related field.
- Minimum of 2-3 years of experience in healthcare provider enrollment, credentialing, or related areas. Experience in quality assurance, auditing, or compliance roles is highly desirable.
- In-depth understanding of healthcare regulations, accreditation standards, and payer enrollment requirements (e.g., Medicare, Medicaid, commercial insurers). Familiarity with enrollment software systems and databases is a plus.
- Strong attention to detail and accuracy in reviewing and verifying provider credentials, documents, and data.
- Proficiency in data analysis, problem-solving, and critical thinking to identify discrepancies, trends, and opportunities for improvement.
- Excellent verbal and written communication skills to effectively communicate with internal and external stakeholders, including providers, payers, and regulatory agencies.
- Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment.
- Strong interpersonal skills and ability to work collaboratively as part of a team to achieve common goals and objectives.
- 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 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/.
#J-18808-Ljbffr