Roles and Responsibilities :

- Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
- Process assigned AR work lists provided by the manager in a timely manner.
- Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
- Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
- Recommend accounts to be written off on Adjustment Request.
- Reports address and/or filing rule changes to the manager.
- Check the system for missing payments.
- Properly notates patient accounts.
- Review each piece of correspondence to determine specific problems.
- Research patient accounts.




- Reviews accounts and determines appropriate follow-up actions (adjustments, letters, phone insurance, etc.).
- Processes and follows up on appeals. Files appeal on claim denials.
- Inbound/outbound calls may be required for follow-up on accounts.
- Respond to insurance company claim inquiries.
- Communicates with insurance companies about the status of outstanding claims.
- Meet established production and quality standards as set by Ventra Health.
- Performs special projects and other duties as assigned.

Job Requirements :

- At least one (1) year experience in AR calling
- Experience with offshore engagement and collaboration desired.
- Graduation mandatory.

📌 Accounts Receivable Specialist (Chennai)
🏢 Ventra Health
📍 Chennai