Credits Specialist

About Ventra Health

Ventra Health is a business solutions partner serving facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. With a focus on revenue cycle management, the company works alongside private practices, hospitals, health systems, and ambulatory surgery centers to provide clear, data-led solutions for challenging reimbursement and revenue issues so clinicians can stay focused on patient care.

Role Overview

The Credit Balance Specialist is responsible for preparing patient and insurance refund checks, building check registers, and securing approval before checks are released.

Key Responsibilities

• Generate refund checks from the relevant systems within each client’s monthly deadline.
• Create check registers for client review and approval.
• Monitor every stage of refund checks and arrange mailing after authorization.
• Prepare and send overpayment letters to payors along with the applicable EOB.
• Maintain and reconcile check stock inventory.

Education and Experience

• High school diploma or an equivalent qualification is required.
• At least 3 years of experience in credit balances, refunds, and/or billing systems is required.

Skills, Knowledge, and Abilities

• Ability to interpret and apply state and federal laws, regulations, and policies.
• Professional communication style for working with people from varied backgrounds.
• Comfort working in a fast-paced, team-oriented environment while staying adaptable.
• Basic proficiency with computers, telephones, internet tools, copier, fax, and scanner.
• Working knowledge of 10-key touch data entry.
• Basic math ability.
• Ability to follow company policies and procedures consistently.
• Strong verbal, written, and interpersonal communication skills.
• Good time management and organizational skills.
• Strong working knowledge of Outlook, Word, Excel including pivot tables, and database software.

Compensation and Incentives

Base pay will be determined by several factors, including location, skills, experience, qualifications, and other role-related considerations. This position is also eligible for a discretionary incentive bonus under company policy.

Rewards and Recognition

This role participates in a performance-based incentive plan. The company also offers a referral bonus for recommending a friend who joins the team.

Equal Opportunity and Accessibility

Ventra Health is an equal opportunity employer and welcomes candidates from diverse backgrounds. The organization supports reasonable accommodations for qualified individuals with disabilities when needed to perform essential job duties. The company is also committed to improving digital accessibility for all users.

Recruitment and Security Notice

The company does not accept unsolicited agency resumes and will not pay fees for resumes submitted without authorization. Applicants should not be asked to make payments as part of the hiring process. There have also been reports of impersonation and fake recruitment activity involving Ventra Health and affiliated entities. Candidates are encouraged to verify any communication directly through official company channels.