Overview

- The Revenue Integrity AR Specialist analyzes payer payment variances across the organization’s three core business units: Radiology, Anesthesia, and Emergency/Hospital Medicine. This role identifies and removes false positives from inventory and resolves underpayments for clients in accordance with each client’s specific payer contracts.

Responsibilities

- Identify and resolve contract variances by distinguishing false variances from those requiring action, including collaborating with internal departments, working directly with payers, and reviewing contract language and rates.
- Submit project appeals – preferably in bulk - related to contract performance variances across all specialties.
- Prepare and submit underpayment appeals using established guidelines and accurately document patient accounts in source systems.




- Process and follow up on appeals, including inbound and outbound calls as needed.
- Communicate with insurance companies regarding the status of outstanding appeals.
- Meet established production and quality standards set by Ventra Health.
- Perform special projects and other duties as assigned.

Qualifications

- High School Diploma or GED. College education is preferred.
- At least three (3) years of experience in medical billing specifically resolving Accounts Receivable, contacting insurance carriers, using payer portals, completing appeals, identifying and communicating trends.
- Experience with offshore engagement and collaboration desired.

📌 Revenue Integrity AR Specialist (Chennai)
🏢 Ventra Health
📍 Chennai