AR Denials & Appeals Specialist

careers-ventrahealth; United States; On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Performance-based incentive plan

Discretionary bonus

Job summary

Ventra Health is seeking an Accounts Receivable Escalation Specialist to analyze collections, resolve non-payables, and handle bill inquiries for complex issues. You will follow up on denials and ensure payer reimbursement aligned with client contracts.

You will write appeals, review accounts, and collaborate with insurance companies to resolve outstanding claims while meeting production and quality standards; offshore engagement experience is a plus and a discretionary incentive bonus may apply.

Qualifications

• High School Diploma or GED required.
• 1+ year data entry and 1+ year medical billing/claims resolution preferred.
• AAHAM and/or HFMA certification preferred.
• Experience with offshore engagement and collaboration desired.

Responsibilities

• Follow up on claim rejections and denials to ensure reimbursement.
• Process AR work lists in a timely manner.
• Write appeals to resolve claim denials.
• Identify and resolve denied, non-paid, and/or non-adjudicated claims.
• Communicate with insurance companies about claim status.
• Meet production and quality standards.
• Perform special projects as assigned.

Skills

Medical billing rules

Communication skills

Time management

Office software

Education

High School Diploma or GED

AAHAM/HFMA certification

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Database software

Job description

Ventra Health is seeking an Accounts Receivable Escalation Specialist to analyze collections, resolve non-payables, and handle bill inquiries for complex issues. You will follow up on denials and ensure payer reimbursement aligned with client contracts.

You will write appeals, review accounts, and collaborate with insurance companies to resolve outstanding claims while meeting production and quality standards; offshore engagement experience is a plus and a discretionary incentive bonus may apply.