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