Revenue Integrity AR Specialist (Chennai)

Revenue Integrity AR Specialist (Chennai)

02 Oct
|
Ventra Health
|
Chennai

02 Oct

Ventra Health

Chennai

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.

Come Join Our Team
- 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 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.

Essential Functions and Tasks
- 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.

Education and Experience Requirements
- Hig

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

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