Registration/Eligibility Edits Specialist
Ventra · Chennai · onsite · Posted 65d ago
Undisclosed2–3 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
Overview
- The Registration/Eligibility Edits Specialist is responsible for ensuring the accuracy and completeness of patient demographics information used for medical billing and claims processing.
- This role is critical in reducing the billing errors and ensuring the timely reimbursement by verifying the insurance information, correcting data discrepancies, and maintaining up-to-date patient records.
Responsibilities
- Validate Patient Demographics: Review and ensure accuracy of patient details such as name, date of birth, address, and contact info in billing systems.
- Verify Insurance Information: Confirm insurance coverage and eligibility through payer portals or clearinghouses, and update records accordingly.
- Maintain Compliance and Documentation: Adhere to HIPAA regulations, maintain data confidentiality, and document all corrections and validations for audit purposes.
Qualifications
- High School Diploma or equivalent (required).
- 1–2 years of experience in medical billing, patient registration, insurance verification, or related healthcare administrative role.
- Knowledge of insurance plans, billing processes, and HIPAA compliance.
- Familiarity with Electronic Health Records (EHR) and billing systems (e.g., Epic, Cerner, Athena).
Sourced from naukri
Skills
NursinggnmsurgicalICUCasualtyHospitalEmergencycpticdmedical codingAws EmrEHRISOclaims adjudicationRevenue Cycle ManagementDenial ManagementhipaaPatient CareHealthRegistrationUS HealthcareHealthcareMedical BillingMedicalDocumentationClaims Processing
About Ventra Health
Ventra
Healthcare
3k+
employees
2021
5 years old
Chennai, India
India
₹4.9L PA avg
Avg at Ventra Health
About
Revenue cycle management and advisory services for facility-based physicians
Industries
Healthcare
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