03 Oct
|
Ventra Health
|
Chennai
03 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 outstanding work deserves outstanding rewards
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus
Job Summary
The SCCIPA Specialist is responsible for completing routine SCCIPA claim adjudication work according to established workflows and payer requirements. This role reviews assigned claims, verifies claim and authorization information, enters adjudication outcomes accurately,
documents claim activity, and identifies items requiring follow-up or escalation.
The SCCIPA Specialist is expected to maintain accurate claim status updates, complete assigned adjudication work timely, and escalate claims that cannot be resolved through standard processes.
Essential Functions and Tasks
Claim Adjudication
Review assigned SCCIPA claims and complete adjudication activity according to established procedures.
Verify claim details, authorization information, payer responses, and supporting documentation before completing adjudication.
Enter adjudication outcomes accurately in the appropriate system or tracking tool.
Identify claims that are pending, denied, underpaid, missing information, or otherwise unable to be adjudicated.
Document adjudication notes, status updates, pending reasons, and next steps clearly and consistently.
Follow established SCCIPA workflows for claim ad
📌 Scippa Specialist Chennai
🏢 Ventra Health
📍 Chennai