Walk-in || Ventra Health - AR Fresher Hiring - Night Shift - Voice

Role & responsibilities: :

• The Accounts Receivable (AR) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards.

• Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients.
• Process assigned AR work lists provided by the manager in a timely manner.
• Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution.
• Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations.
• Recommend accounts to be written off on Adjustment Request.
• Reports address and/or filing rule changes to the manager.
• Check the system for missing payments.
• Properly notates patient accounts.
• Review each piece of correspondence to determine specific problems.
• Research patient accounts.
• Reviews accounts and determines appropriate follow-up actions (adjustments, letters, phone insurance, etc.).
• Processes and follows up on appeals. Files appeals on claim denials.
• Inbound/outbound calls may be required for follow-up on accounts.
• Respond to insurance company claim inquiries.
• Communicates with insurance companies about the status of outstanding claims.
• Meet established production and quality standards as set by Ventra Health.
• Performs special projects and other duties as assigned.

Preferred candidate profile

• Any Graduate from the 2022-2026 batch.
• Strong verbal and written communication skills in English.
• Willing to work in a Night Shift Voice Process.

Additional Information

• Two-way cab transportation will be provided as per company policy.
• Suitable for fresh graduates looking to start their career in the RCM / US Healthcare industry.
• Only immediate joiners will be considered.
• Interested candidates who meet the above criteria can walk in at the mentioned venue and time for the interview.