09 Sep
|
Ventra Health
|
India
09 Sep
Ventra Health
India
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 (India)
🏢 Ventra Health
📍 India