Medsuite Inc

Director

• Provide strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence
• Direct and govern the entire patient billing and collection process, including patient account management, billing operations, payment collections, patient communications, and revenue optimization
• Ensure end-to-end workflow excellence, operational efficiency, regulatory compliance, and measurable improvements in cash flow, aging analysis, and patient satisfaction across all self-pay functions
• Develop and implement comprehensive accounts receivable strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives
• Establish and maintain standardized performance metrics, Key Performance Indicators (KPIs), and governance frameworks for patient billing, collections, and accounts receivable management
• Oversee and optimize patient account lifecycle management, including patient billing strategy, payment plans, accounts receivable aging, and bad debt
• Build, mentor, and develop a high-performing team of accounts receivable specialists and analysts
• Monitor aging analysis reports, trends, net collection rates, and other accounts receivable metrics to identify process improvement opportunities and revenue leakage
• Manage integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions
• Partner with Client Success, Finance, Compliance, Technology, and Operations teams on process improvements, system implementations, and policy updates
• Ensure regulatory compliance with HIPAA, state billing regulations, payer guidelines, and consumer protection requirements in all billing and collection activities
• Develop and implement patient communication strategies to improve patient understanding of billing, payment options, and financial responsibility
• Analyze financial data, forecasting, and trending to support budget management and revenue optimization initiatives

Director, Patient Responsibility, AR

Operations

• Provide strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence
• Direct and govern the entire self-pay vendor ecosystem, including coverage discovery, patient digital engagement, patient statements, payment solutions, and bad debt collections
• Ensure end-to-end workflow excellence, vendor performance optimization, regulatory compliance, and measurable improvements in revenue capture and patient experience across all self-pay functions
• Develop and implement comprehensive vendor strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives
• Establish and maintain standardized Service Level Agreements (SLAs), Key Performance Indicators (KPIs), and governance frameworks for all vendor categories
• Lead quarterly business review (QBR) meetings with key vendors and manage vendor contract negotiations, renewals, and escalation management
• Build, mentor, and develop a high-performing team of Data & Performance Analysts and Workflow & Operations Analysts
• Establish and monitor comprehensive performance dashboards tracking KPIs across all vendor categories and self-pay stages
• Monitor end-to-end data flows between vendor systems and internal platforms to identify gaps, data quality issues, and timing failures
• Partner with Client Success, Operations, Finance, Technology, and Compliance teams on process improvements and system implementations
• Conduct vendor risk assessments, maintain contingency plans, and identify opportunities for vendor consolidation or replacement

Director, Patient Responsibility Vendor Operations

Call Center Representative

• Handle customer inquiries in a bilingual capacity
• Provide support via phone and email
• Collaborate with team members on customer issues

Bilingual Contact Center Specialist

• Provide support to patients via phone and assist with inquiries
• Resolve issues and escalate as necessary
• Collaborate with the team to improve processes
• Participate in training and development programs

Project Manager

• Manage the end-to-end onboarding of multiple healthcare clients into coding and billing services
• Serve as the primary point of contact for clients during onboarding
• Manage project timelines, tasks, and communications to ensure on-time delivery
• Identify and escalate issues, drive resolution with internal and external stakeholders
• Lead client meetings to guide onboarding progress and address concerns
• Collect and validate client data required for system configuration
• Maintain and share onboarding status updates with stakeholders

Project Management Lead

Education Specialist

• Review provider documentation on an ongoing basis
• Provide feedback for practitioners on areas to improve
• Review documentation by chart daily for Coding Production
• Provide feedback to Documentation Specialist on documentation trends
• Assist with coding audits, reviews, and compliance initiatives
• Conduct thorough reviews of medical records and encounter forms
• Communicate coding and documentation-related trends and issues to clients
• Stay informed about changes in coding guidelines

Provider Education Specialist

Accountant

• Perform daily routines related to accounts payable, payroll, and preparation of various accounting statements and reports
• Accounts payable processing including tracking due dates, collection of invoices, and timely issuance of checks
• Processes client expense reimbursement requests according to policy
• Preparation of ACH transfers as directed by management
• Preparation of journal entries and bank reconciliations
• Client payroll processing and distribution of payroll packets
• Maintain communication with providers and respond to client inquiries
• Preparation and distribution of year-end reports (1099, W2)
• Supports Finance department team members as needed

Senior Accountant – Practice Management

Research Analyst

• Ensures medical records are complete within the electronic medical records system by identifying and obtaining any missing chart information including signatures from physicians and other pertinent personnel
• Reports on incomplete medical records based on the deadlines given
• Conducts Review of Systems (ROS), Exam, HPI, and MD Notes
• Retrieves existing medical records from Electronic Medical Records (EMR) system
• Scans and inputs documents
• Verifies that information is indexed appropriately
• Pulls down medical records through Automate Tasks
• Logs into hospital systems and downloads registration logs and demographic data
• Documents work processes as required
• Creates new entries and sub files as needed with correct medical record number
• Monitors the performance of the Automate Tasks
• Performs special projects and other duties as assigned

Chart Research Specialist

Medical Billing and Coding

• Review and resolve escalated coding issues from coders, auditors, billing teams, and providers
• Analyze medical records and documentation to ensure accurate and compliant code assignment
• Serve as a subject matter expert (SME) in coding guidelines and payer-specific rules
• Identify coding trends, discrepancies, and compliance risks; recommend corrective actions
• Participate in coding audits and assist in implementing audit recommendations
• Educate and mentor coding staff on complex cases and updates to coding regulations
• Ensure adherence to all applicable coding standards (CMS, AHA Coding Clinic, AMA CPT Assistant)
• Support continuous improvement initiatives in coding accuracy, workflow, and documentation quality
• Maintain up-to-date knowledge of coding updates, regulatory changes, and payer guidelines

Coding Escalation Specialist – Pro Fee Hospital

Provider Enrollment Specialist

• Works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials.
• Researches, resolves, and enrolls any payer issues, utilizing a variety of proprietary and external tools.
• Contacts clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website.
• Performs follow-up with market locations to research and resolve payer enrollment issues.
• Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications.
• Maintains documentation and reporting regarding payer enrollments in process.
• Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team.

• Process accounts that meet coding denial management criteria including rejections and bundling issues.
• Resolve work queues according to prescribed priority.
• Validate denial reasons and ensures coding is accurate.
• Generate appeals based on dispute reasons and contract terms.
• Follow specific payer guidelines for appeals submission.
• Escalate exhausted appeal efforts for resolution.
• Maintain working knowledge of workflow, systems, and tools used in the department.

Coding Denials Specialist

General

• Manage and resolve escalations from internal team members and client services to ensure timely and accurate completion
• Investigates and resolves matters that Client Success escalates from clients to resolve
• Research and complete special projects for Posting as requested
• Assist with departmental training as requested
• Assist with audits as requested
• Provide process improvement feedback to leadership
• Performs other duties as assigned

Payment Posting Escalation Specialist

• Coordinate and manage access provisioning for EMR systems, billing platforms, and payer portals
• Submit and track access requests including new user setups, account modifications, password resets, and account terminations
• Assign and validate appropriate access types based on role and operational function
• Ensure URLs, login credentials, and role-based configurations are accurately documented and communicated
• Utilize internal ticketing systems to track status, document responses, and ensure resolution
• Maintain audit logs, access tracking, and configuration documentation
• Support onboarding and offboarding access activities
• Independently manage complex and high-risk access scenarios across multiple systems
• Serve as escalation point for Access Specialist I for complex access and troubleshooting issues
• Coordinate access readiness for client go-lives, acquisitions, integrations, and system transitions
• Partner with Project Leads and Access Leads to align access delivery with onboarding timelines
• Validate role-based access configurations for accuracy, security, and workflow alignment
• Proactively identify access risks and dependencies and escalate with recommended actions
• Perform advanced access audits and reconciliation for compliance and operational accuracy
• Identify recurring access issues and recommend process improvements
• Support testing and validation of new systems, payer portals, or access workflows
• Provide informal coaching and knowledge-sharing to Access Specialist I team members
• Participate in special projects related to access standardization, automation, or platform changes

Access Specialist

Accounting Manager

• Manages daily activities in all of the organization's accounting functions, which may include general accounting, payroll, accounts payable, and accounts receivable.
• Oversees the reconciliation of all balance sheet reconciliations on a monthly basis.
• Performs/reviews reconciliation of general ledger accounts.
• Analyzes/reviews, verifies and posts transactions to journals, ledgers and other records.
• Prepares and/or reviews reports and ad-hocs for internal and external purposes.
• Help with the entire accounts receivable process, ensuring accuracy and timeliness in billing.
• Monitor aging balance and assess collectability.
• Works with team members to ensure the revenue recorded complies with US GAAP.
• Assists internal and/or external auditors with periodic auditing or the organization's financial records and statements.
• Ensures compliance with local, state, and federal government and tax requirements.
• Responsible for the oversight, mentorship, and growth of assigned Finance staff, where applicable.

Manager, Accounting

• Own and drive the company's overall client retention and renewals strategy, with accountability for NRR, gross renewal rate (GRR), and expansion revenue targets
• Build, lead, and mentor a team of Retention Managers and Renewal Specialists, establishing performance standards, career development paths, and coaching cadences
• Serve as the executive sponsor for high-value and strategically critical accounts, including direct engagement in escalation resolution and renewal negotiations
• Partner with the business stakeholders to define retention targets, report performance, and align retention initiatives with portfolio growth goals
• Establish and continuously refine the retention and renewals operating model, including playbooks, escalation frameworks, forecasting methodology, and QBR standards
• Oversee the full renewal lifecycle across all tiers of the book of business, ensuring every renewal is initiated 90+ days in advance and progresses through a disciplined commercial process
• Lead commercial negotiations on complex, high-value, or multi-year renewal agreements in collaboration with Sales, Legal, and Finance
• Develop tiered renewal strategies that differentiate approach by account size, health score, and strategic value
• Build and maintain a renewal forecast model with ±5% accuracy; present monthly to VP of Client Success and quarterly to the executive team
• Define and own the risk management framework — including early warning indicators, red-account protocols, and cross-functional intervention plans
• Leverage Gainsight to build and optimize health score models, lifecycle journeys, automated playbooks, and risk CTAs across all client segments
• Collaborate with Product, Implementation, and Support to identify systemic churn drivers and lead cross-functional remediation initiatives
• Analyze win/loss and churn data to surface patterns, present findings to leadership, and continuously close retention gaps
• Design and deliver executive-ready retention dashboards and KPI reporting for internal leadership, PE board packages, and investor updates
• Establish data hygiene and CRM standards that ensure renewal pipeline accuracy and consistent forecasting
• Partner with Revenue Operations to align retention metrics with company-wide ARR and revenue reporting

Director, Patient Responsibility, AR

Director, Patient Responsibility Vendor Operations

Bilingual Contact Center Specialist

Bilingual Contact Center Specialist

Project Management Lead

Provider Education Specialist

Senior Accountant – Practice Management

Chart Research Specialist

Coding Escalation Specialist – Pro Fee Hospital

Provider Enrollment Specialist

Coding Denials Specialist

Payment Posting Escalation Specialist

Access Specialist

Manager, Accounting

Manager/Director, Client Retention & Renewals