Accounts Receivable Specialist

Role Overview Ventra Health is a leading business solutions provider specialising in Revenue Cycle Management for facility-based physicians across anesthesia, emergency medicine, hospital medicine, pathology, and radiology. As an Accounts Receivable Specialist, you will play a key role in managing collections, resolving claim denials, and ensuring timely reimbursements for our healthcare clients. This is an excellent opportunity to join a high-performing team that values transparency, data-driven decision-making, and professional growth. Key Responsibilities - Follow up on claim rejections and denials to secure accurate and timely reimbursements for clients - Process assigned AR work lists within defined timelines as directed by the manager - Write and submit appeals using established guidelines with the goal of first-contact resolution - Identify and resolve denied, non-paid, or non-adjudicated claims arising from coverage issues, medical record requests, or authorisation problems - Recommend accounts for write-off via Adjustment Request and report filing rule or address changes to the manager - Review patient account correspondence to identify specific billing problems and determine appropriate follow-up actions - Handle inbound and outbound calls to follow up on outstanding claims and respond to insurance company inquiries - Maintain accurate account notations and meet Ventra Health production and quality benchmarks - Support special projects and additional duties as assigned by management Required Qualifications - High School Diploma or GED equivalent - Minimum one year of experience in data entry and one year in medical billing and claims resolution preferred - AAHAM and/or HFMA certification is an added advantage - Intermediate knowledge of medical billing rules including coordination of benefits, modifiers, Medicare, and Medicaid, with understanding of EOBs - Proficiency in MS Outlook, Word, and Excel including pivot tables, along with database software skills - Strong oral, written, and interpersonal communication skills with the ability to work in a fast-paced collaborative environment - Experience with offshore engagement and collaboration is desirable Why Join Us Ventra Health offers a performance-based incentive plan and a robust Rewards and Recognition programme that ensures great work is genuinely rewarded. You will be part of an inclusive, diverse, and fast-growing organisation where your contributions directly impact healthcare outcomes across the United States.

- Minimum 1 year experience in medical billing and claims resolution - Knowledge of coordination of benefits, modifiers, Medicare, and Medicaid billing rules - Understanding of Explanation of Benefits (EOB) documents - Proficiency in MS Excel (pivot tables), Word, and Outlook - Experience with billing software and database tools - Strong time management and organisational skills - Good oral and written communication skills - Ability to handle inbound and outbound calls professionally - High School Diploma or GED - AAHAM or HFMA certification preferred

- Performance-based incentive plan - Rewards and Recognition programme - Employee referral bonus - Inclusive and diverse work culture - Opportunity to work with a leading US healthcare revenue cycle company