Hyderabad Telangana Facility specialist Jobs – 129 Open Jobs Today

Rejections Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- 12th Pass
- Math
- Organisational skills
Denials Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Facility Specialist
ABB Global Industries and Services Private Limited —Hyderabad, Telangana
- Online application
- Electrical experience
- Bachelor's degree
- Plumbing
Quick apply
5d
Presentation Specialist
Invesco —Hyderabad, Telangana
- Full-time
- Hybrid work
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Health insurance
1d
Vendor Mgmt and Transformation Specialist
CBRE —Hyderabad, Telangana
- Full-time
- PMP
- Microsoft Office
- Finance
- Health insurance
- Food provided
Credentialing Specialist, Contracts
Nimble Solutions —Hyderabad, Telangana
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Quick apply
1d
Reporting Specialist
Solenis —Hyderabad, Telangana
- Full-time
- Hybrid work
- ERP systems
- Master's degree
- Analysis skills
- Commuter assistance
- Health insurance
Technology Transfer Specialist (OSD & Derma)
Dr Reddy's Laboratories Limited —Hyderabad, Telangana
- Full-time
- Analysis skills
- Project management
- Bachelor's degree
- Health insurance
Quick apply
11d
Sourcing Operations Specialist
Solenis —Hyderabad, Telangana
- Full-time
- Hybrid work
- Master's degree
- Bachelor's degree
- Commuter assistance
- Health insurance
Site Contract Specialist
Bristol-Myers Squibb —Hyderabad, Telangana
- Email
- Hybrid work
- Microsoft Office
- Bachelor's degree
- Travel
5d
Workplace Engineering Specialist - CL 9
Accenture —Hyderabad, Telangana
- Full-time
- Hospitality
- Microsoft Excel
- Management
Team Leader Manufacturing - QMS
Dr Reddy's Laboratories Limited —Hyderabad, Telangana
- Full-time
- Manufacturing
- Health insurance
Quick apply
2d
Site Reliability Specialist
NCR —Hyderabad, Telangana
- Full-time
- Azure
- Computer Science
- Software troubleshooting
Specialist - Global Consultant Services and Reporting
Franklin Templeton Investments —Hyderabad, Telangana
- Email
- Microsoft Excel
- Microsoft Outlook
- English
- Health insurance
Curriculum Lead / Specialist
KLAY Prep Schools and Daycare —Hyderabad, Telangana
- Full-time
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Quick apply
Coding Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
Support & Expertise Specialist
Sanofi —Hyderabad, Telangana
- Microsoft Excel
- English
- Microsoft Office
- Health insurance
Contracts Legal Specialist
Solenis —Hyderabad, Telangana
- Full-time
- Hybrid work
- English
- Microsoft Office
- Training & development
- Commuter assistance
- Health insurance
Sourcing Specialist
Newmark —Hyderabad, Telangana
- Urgently hiring
- Oracle
- Recruiting
- Communication skills
2d
Subject Matter Expert - Clinical Specialist
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
8d

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Rejections Specialist

Ventra Health, Inc. -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Qualifications

12th Pass
Math
Medical billing
Organisational skills
Billing
Communication skills
Time management

Full job description

About Us:

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

Come Join Our Team!

As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards

Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!

Job Summary:

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

Essential Functions and Tasks:

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.
Navigate websites to obtain EOBs.
Performs special projects and other duties as assigned.

Education and Experience Requirements:

High School Diploma or Equivalent.
Two (2) year of experience posting insurance payments in a healthcare setting.
Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.
AAHAM and/or HFMA certification preferred.
Experience with offshore engagement and collaboration desired.

Knowledge, Skills, and Abilities:

Intermediate level knowledge of medical billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding of EOBs.
Become proficient in the use of billing software within 4 weeks and maintain proficiency.
Ability to read, understand and apply state/federal laws, regulations, and policies.
Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
Ability to remain flexible and work within a collaborative and fast-paced environment.
Strong balancing and reconciliation skills.
Strong 10 Key calculator skills.
Strong oral, written, and interpersonal communication skills.
Strong mathematical skills.
Strong time management skills.
Strong organizational skills.
Ability to read, understand, and apply state/federal laws, regulations, and policies.
Ability to remain flexible and work within a collaborative and fast paced environment.
Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

Compensation:

Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.

Ventra Health:

Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.

Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.

Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at [email protected] to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.

Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.

Apply Now

Refine Your Search

facility specialist jobs in hyderabad telangana

Rejections Specialist

Denials Specialist

Facility Specialist

Presentation Specialist

Vendor Mgmt and Transformation Specialist

Credentialing Specialist, Contracts

Reporting Specialist

Technology Transfer Specialist (OSD & Derma)

Sourcing Operations Specialist

Site Contract Specialist

Workplace Engineering Specialist - CL 9

Team Leader Manufacturing - QMS

Site Reliability Specialist

Specialist - Global Consultant Services and Reporting

Curriculum Lead / Specialist

Coding Specialist

Support & Expertise Specialist

Contracts Legal Specialist

Sourcing Specialist

Subject Matter Expert - Clinical Specialist

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