Intake Exceptions Specialist

Intake Exceptions Specialist Requisition ID 2026-7679 Function Subdepartment Front End Role Intake Exceptions Specialist Pay Class Full Time Location Status Onsite Business Unit Hospitalists Location Listed on Requisition Posting : Address 2 Philexcel Business Center 16 Location Listed on Requisition Posting : City Clark Work Shift DAY Work Shift 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. 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! Job Summary The Intake Exceptions Specialist is primarily responsible for entering and maintaining insurance and patient demographic information accurately, through research and follow up, at the individual encounter level. At the Intake Coordinator II level, this is amplified to include maintaining insurance at the system level and performing cross walking functions. Essential Functions and Tasks Reviews demographics pulled from hospital system and assigns insurance plans to each patient chart Enters all patient information accurately prior to chart being coded Corrects any errors based on insurance billing requirements Adds and maintains insurance information within system through proper research Identifies any ‘Red Flag’ issues and provides proper research to deliver a solution Provides support for any major projects within department Performs internet research to determine insurance presented is legitimate Review volumes of spreadsheet data, sent to Ventra by facilities, to determine insurance crosswalks that need to be made Compares insurance information, provided by the facilities, to Ventra insurance data to perform matches on insurance name, line of business type (financial class), and local area special arrangements for cross walking opportunities Enters valid crosswalks into Ventra systems Performs special projects and other duties as assigned Education and Experience Requirements High School Diploma or GED At least six (6) months of experience with insurance/professional medical billing preferred Knowledge, Skills, and Abilities Working knowledge of the front-end process for each facility Working knowledge of medical terminology, anatomy and physiology, legal aspects of health information Knowledge of Electronic Medical Records (EMRs) such as Cerner, Meditech, Epic, PICIS 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 Ability to deliver high quality service excellence with high attention to detail Understand and comply with company policies and procedures Strong oral, written, and interpersonal communication skills Strong time management, organizational, and decision-making skills Strong knowledge of Outlook, Smartsheet, Excel, and database software skills Compensation 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 incentiv e bon us in accordance with company policies . 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 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 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 Accessibility Ventra 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/. Options Apply! Apply! Share Email this Job to a Referral Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs Software Powered by ICIMS www.icims.com