Medsuite Inc

Manager

• Lead and provide guidance to the medical coding team, assign tasks, set goals, and conduct performance evaluations
• Oversee medical coding operations ensuring accuracy, completeness, and compliance with CPT, ICD-10, HCPCS
• Ensure coding practices align with regulations and privacy laws (HIPAA)
• Provide ongoing training, mentoring, and professional development for coding staff
• Collaborate with revenue cycle management, clinical documentation improvement, and compliance teams
• Monitor coding metrics and KPIs; develop reports and present coding trends and issues to senior management

Coding Manager, Radiology

Data Engineer

• Ventra is a leading business solutions provider for facility-based physicians focused on revenue cycle management
• Design, develop, and maintain a scalable Snowflake data solution for enterprise data & analytics
• Implement data pipelines, ETL/ELT workflows, and data warehouse solutions using Snowflake and related technologies
• Optimize Snowflake database performance and ensure scalability
• Collaborate with data analysts, business analysts, data scientists, and software engineers to define data solutions
• Ensure data quality, integrity, and governance
• Troubleshoot and resolve data-related issues to ensure high availability and performance
• Perform independent data analysis and data discovery of source systems, fact and dimension models
• Implement enterprise data warehouse solutions following Medallion architecture best practices
• Take direction from Lead Snowflake Data Engineer and Director of Data Engineering while contributing domain expertise

Snowflake Data Engineer

QA Engineer

• Ensure functionality, reliability, and performance of APIs used in Ventra Health's software products
• Design, develop, and execute test cases for RESTful APIs
• Perform functional, performance, security, and regression testing on APIs
• Write automated test scripts for APIs using tools like Postman or JMeter
• Monitor and evaluate API responses to meet performance and functional criteria
• Collaborate with developers and product managers to identify and resolve issues
• Report, track, and prioritize defects using bug-tracking tools (e.g., Azure DevOps)
• Perform integration testing between system components
• Ensure compliance with API standards, guidelines, and best practices
• Create and maintain test data and provide recommendations to improve testing processes

API Test Engineer

• Ventra Health: business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology.
• Lead and provide guidance to the US medical coding team as US Healthcare Medical Manager, Coding.
• Oversee coding operations ensuring accuracy, completeness, and compliance with CPT, ICD-10, HCPCS and other regulations.
• Implement best practices to optimize coding efficiency and productivity.
• Ensure coding compliance with HIPAA and other privacy and reimbursement regulations.
• Provide ongoing training, mentoring, and professional development for coding staff.
• Collaborate with revenue cycle, clinical documentation improvement, and compliance teams to optimize revenue capture.
• Monitor coding metrics and KPIs; develop reports and communicate trends to senior management.

Manager, Coding - Radiology

• Participate in the design, development, and maintenance of a scalable Snowflake data solution serving our enterprise data & analytics team.
• Implement data pipelines, ETL/ELT workflows, and data warehouse solutions using Snowflake and related technologies.
• Optimize Snowflake database performance.
• Collaborate with cross-functional teams of data analysts, business analysts, data scientists, and software engineers, to define and implement data solutions.
• Ensure data quality, integrity, and governance.
• Troubleshoot and resolve data-related issues, ensuring high availability and performance of the data platform.
• Conduct independent data analysis and data discovery to understand existing source systems, fact and dimension data models.
• Implement an enterprise data warehouse solution in Snowflake and take direction from the Lead Snowflake Data Engineer and Director of Data Engineering.

• Design, develop, and execute test cases for RESTful APIs
• Perform functional, performance, security, and regression testing on APIs
• Write automated test scripts for APIs using tools like Postman or JMeter
• Monitor and evaluate API responses to meet performance and functional criteria
• Collaborate with developers and product managers to identify and resolve issues
• Report, track, and prioritize defects using bug-tracking tools (e.g., Azure DevOps)
• Perform integration testing to ensure smooth communication between system components
• Ensure compliance with API standards, guidelines, and best practices
• Create and maintain test data to support API testing
• Provide recommendations for improving testing quality and efficiency

• Lead Medical Coding team, including assigning tasks, setting goals, and conducting performance evaluations
• Oversee all aspects of the medical coding process, ensuring accuracy, completeness, and compliance with CPT/ICD-10/HCPCS
• Implement best practices to optimize coding efficiency and productivity
• Stay informed about changes in coding regulations and healthcare compliance requirements (HIPAA, etc.)
• Provide ongoing training and education to coding staff; mentor team members
• Collaborate with revenue cycle management, clinical documentation improvement, and compliance
• Develop reports and presentations to communicate coding trends to senior management

• Perform detailed QA reviews of inbound healthcare data feeds to ensure formatting, data integrity, and alignment with system specifications
• Validate ingestion and transformation of data into internal billing systems
• Conduct end-to-end QA of system configuration for new client onboardings, ensuring alignment with contract requirements and billing workflows
• Collaborate with Business Analysts, Developers, and Billing Teams to troubleshoot and resolve data issues and configuration mismatches
• Document defects, inconsistencies, and improvement opportunities; develop QA documentation including test cases, checklists, SOPs
• Participate in client requirement gathering and technical walkthroughs; ensure compliance with data privacy and healthcare regulations (HIPAA)
• Assist in continuous improvement initiatives across QA processes to increase efficiency and reduce errors

Quality Assurance, Implementation

Bilingual

• Answering incoming calls about patient medical bills, insurance, EOBs, and payment arrangements.
• Utilize multiple internal systems to assist with patient billing needs.
• Provide exceptional customer service to callers.
• Troubleshoot billing inquiries and explain benefits coverage, course of action, and timeframes.
• Ensure proper documentation, recording, and closure of issues.
• Collaborate with internal departments to research insurance denials, missing payments, and attorney requests.
• Perform special projects and other duties as assigned.

Bilingual Contact Center Specialist

• Oversee and manage the billing operations of EMHM business unit; ensure efficient, accurate billing in compliance with regulations; manage account inquiries.
• Lead the billing strategy and mentor a team of billing specialists; ensure adherence to policies and foster cross-functional collaboration.
• Oversee preparation, distribution, and tracking of invoices; ensure timely invoicing per contracts and customer agreements.
• Implement best practices in billing processes; maintain TES process and Post Demo update process; meet deadlines.
• Drive process improvements; lead cross-functional teams to adopt new technologies, systems, or procedures.
• Ensure compliance with billing, payment, and communication regulations; work with legal/compliance to mitigate risk; develop policies to prevent errors, fraud, and violations.

Billing Manager

• Manages accounts receivable (AR) for Ventra Health clients including anesthesia and hospital medicine
• Oversees AR processes, staffing, and month-end close for assigned clients
• Maintains AR performance metrics (days in AR, AR over 120 days, credit balances, collections)
• Standardizes AR processes under the One Ventra Health model
• Partners with shared services and offshore resources to execute billing, payments, and adjustments
• Communicates AR performance and payer issues to Directors, RCM and HR
• Supports a positive workplace culture and talent retention
• Ensures compliance with billing, collections, and refund processing laws
• Keeps client instructions up-to-date and clearly communicated

Manager, Revenue Cycle

Financial Planning and Analysis

• Partner directly with ESD leadership to understand business needs and translate them into analytical outputs and visualizations.
• Collect, compute, and analyze large data sets from various systems to support daily, weekly, and monthly reporting needs.
• Proactively identify trends, variances, and operational insights that can drive decision-making and performance improvements.
• Design and maintain dashboards using Power BI, ensuring data is presented in a clear, actionable format.
• Build and manage tools in Excel and Smartsheet to support tracking, forecasting, and planning activities.
• Own the end-to-end data process—from ingestion to interpretation—and act as the go-to expert for operational financial analytics in support of RCM.

Manager, RCM Financial Analysis

Accounts Receivable

• Lead and manage a team of accounts receivable specialists, providing guidance, support, and coaching to ensure high performance and productivity
• Develop and implement strategies to optimize the accounts receivable process, reduce the aging of accounts, and improve cash flow
• Monitor KPIs and metrics related to accounts receivable (AR days, denial rates, cash collection ratios) and address deviations from targets
• Oversee billing and claims processing functions, ensuring that claims are submitted accurately and timely, and that issues are promptly addressed
• Manage payment posting activities, reconciling payments with billed charges, and identifying discrepancies
• Coordinate denial management, analyzing denial trends, implementing corrective actions, and appealing denials to maximize revenue recovery
• Collaborate with coding, billing, and compliance to ensure alignment in revenue cycle processes
• Stay updated on changes in healthcare regulations, payer policies, and industry trends related to AR management and compliance
• Conduct regular team meetings and performance reviews, providing feedback and development opportunities
• Foster a positive, collaborative work environment with accountability and continuous improvement
• Serve as a point of contact for escalated issues from internal and external stakeholders
• Maintain accurate records of AR activities and generate reports to track progress

Supervisor, Accounts Receivable Escalation

• Provides exceptional customer service to callers.
• Troubleshoots billing inquiries, explains benefits coverages, and explains course of action and timeframes.
• Ensures proper documentation, recording, and closure of issues.
• Collaborates with other internal departments to research insurance denials, missing payments, and attorney requests.
• Performs special projects and other duties as assigned.

Contact Center Specialist, Bilingual

• The Contact Center Specialist Bilingual role will be responsible for answering a variety of incoming calls regarding patient medical bills, insurance, Explanation of Benefits (EOB) forms, and bill payment arrangements.\n• This role will utilize multiple internal systems to assist with overall patient billing needs.\n• Essential Functions and Tasks: Provides exceptional customer service to callers, Troubleshoots billing inquiries, explains benefits coverages, and explains course of action and timeframes.\n• Ensures proper documentation, recording, and closure of issues.\n• Collaborates with other internal departments to research insurance denials, missing payments, and attorney requests.\n• Performs special projects and other duties as assigned.