Job Summary

- The Revenue Integrity AR Specialist analyzes payer payment variances across the organizations 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

- 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.

Knowledge, Skills, and Abilities

- Knowledge of State, Federal, and Managed Care regulatory guidelines

- Knowledge of benefit insurance billing and contract management

- Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

- Strong oral, written, and interpersonal communication skills

- Strong decision-making skills

- Strong problem-solving skills

- Strong time management skills

- Basic word processing, spreadsheet, database, and presentation software skills

- Basic mathematical skills in addition, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals

- Ability to read, understand, and apply state/federal laws, regulations, and policies

- Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately

- Ability to remain flexible and work within a collaborative and rapid paced environment

- Ability to communicate with diverse personalities in a tactful, mature, and professional manner

- Become proficient in the use of billing software within 4 weeks and maintain proficiency.

- Understand and comply with company policies and procedures.

📌 Walk-in || Revenue Integrity AR Specialist (Chennai)
🏢 Ventra Health
📍 Chennai