About Us:
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
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- As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe excellent work deserves great rewards

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Job Summary:
- The Denials Specialist (Accounts Receivable (“AR”) Specialist) is primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues.



AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.

Essential Functions and Tasks:
- 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 ap

📌 Denials Specialist (Hyderabad)
🏢 Ventra Health
📍 Hyderabad