Revenue Integrity AR Specialist
Ventra · Chennai · onsite · Posted 51d ago
Undisclosed2–6 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
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.
Sourced from naukri
Skills
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About Ventra Health
Ventra
Healthcare
3k+
employees
2021
5 years old
Chennai, India
India
₹4.9L PA avg
Avg at Ventra Health
About
Revenue cycle management and advisory services for facility-based physicians
Industries
Healthcare
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