AR Denials & Appeals Specialist

Ventra Health, Inc.; Northern (KY); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Performance-based incentive plan

Referral bonus

Job summary

Ventra Health, Inc. is seeking a Denials Specialist (Accounts Receivable Specialist) to analyze collections, resolve non-payables, and handle bill inquiries for complex issues.

The role focuses on payer follow-up to ensure claims are paid according to client contracts, while complying with billing standards. You will follow up on denials, process AR lists, write appeals, and communicate with insurance companies to resolve outstanding claims.

Qualifications

• Formal education required: high school diploma or GED.
• Industry knowledge in medical billing and claims resolution preferred.

Responsibilities

• Follow up on claim rejections and denials to ensure appropriate reimbursement.
• Process AR work lists in a timely manner.
• Write appeals to resolve denials per guidelines.
• Identify and resolve denied or non-adjudicated claims.
• Communicate with insurance companies about claim status.

Skills

Communication

Time management

Organizational skills

Outlook / Word / Excel

Billing knowledge

Education

High School Diploma or GED

AAHAM/HFMA certification preferred

Tools

Billing software

Database software

Job description

Ventra Health, Inc. is seeking a Denials Specialist (Accounts Receivable Specialist) to analyze collections, resolve non-payables, and handle bill inquiries for complex issues.

The role focuses on payer follow-up to ensure claims are paid according to client contracts, while complying with billing standards. You will follow up on denials, process AR lists, write appeals, and communicate with insurance companies to resolve outstanding claims.