Telangana Denials specialist Jobs – 22 Open Jobs Today

Denials Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Collections Representative
Optum —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
Rejections Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- 12th Pass
- Math
- Organisational skills
AR Specialist I
WebPT India Private Limited —Hyderabad, Telangana
- Customer service
- Analysis skills
- Organisational skills
Quick apply
Accounts Receivable Specialist – Medical Billing
Gulf Coast RCM and Billing Solutions —Hyderabad, Telangana
- ₹35,000 - ₹45,000 a month
- Full-time
- Microsoft Excel
- Analysis skills
- In-person
- Health insurance
Quick apply
4d
Subject Matter Expert - Clinical Specialist
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
AR calling, Hospital Billing-Specialist-Revenue Cycle Management Service
PwC —Hyderabad, Telangana
- Full-time
- English
- Microsoft Office
- 12th Pass
10d
AR Calling, Hospital Billing-Specialist- Revenue Cycle Management Services
PwC —Hyderabad, Telangana
- Full-time
- English
- Microsoft Office
- 12th Pass
10d
Supervisor, Coding Denials
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
7d
Team Lead, Correspondence
Nimble Solutions —Hyderabad, Telangana
- Management
- Microsoft Office
- Analysis skills
Quick apply
Subject Matter Expert - Billing and Collections
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
AR Callers/SR AR Callers
DSIG IT SOLUTIONS PRIVATE LIMITED —Hyderabad, Telangana
- ₹15,000 - ₹70,000 a month
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
Quick apply
Physician Accounts Receivable Specialist (US Health Care)
DOCTUS DATA SERVICES PVT LTD —Ameerpet, Hyderabad, Telangana
- ₹10,000 - ₹25,000 a month
- Full-time
- Microsoft Excel
- Microsoft Office
- In-person
Quick apply
Charge Entry -QA (5 Jan 26)
Eclat Health Solutions —Hyderabad, Telangana
- Analysis skills
- Data entry
- Communication skills
Quick apply
Process Associate - Medical Billing
Nimble Solutions —Hyderabad, Telangana
- Full-time
- Microsoft Office
- Bachelor's degree
- Organisational skills
Quick apply
Hospital Billing Assistant Managers (UB04 AMs) 6th Feb- Hyd
Eclat Health Solutions —Hyderabad, Telangana
- Bachelor's degree
- Epic
- Communication skills
Quick apply
Quality Lead - Profee
Guidehouse India Pvt Ltd —Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Management
4d
RCM Coding Analyst
ModMed Technologies India Private Limited —Cyberabad, Hyderabad, Telangana
- Full-time
- Anatomy knowledge
- B.Sc
- Master's degree
- Paid holidays
- Paid sick time
Quick apply
Sr Associate - Authorization Denials specialist
Newport Medical Solutions —Hyderabad, Telangana
- Night shift
Quick apply
RCM Coding Specialist
ModMed Technologies India Private Limited —Cyberabad, Hyderabad, Telangana
- Full-time
- Microsoft Excel
- B.Sc
- English
- Paid holidays
- Paid sick time
Quick apply

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Denials Specialist

Ventra Health, Inc. -
Hyderabad, Telangana

Apply Now

Job details

Full-time

Qualifications

Microsoft Excel
Microsoft Outlook
Basic math
12th Pass
Medical billing
Data entry
Organisational skills
Pivot tables
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 Denials Specialist (Accounts Receivable (“AR”) Specialist) is 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.

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.
Performs special projects and other duties as assigned.

Education and Experience Requirements:

High School Diploma or GED.
At least one (1) year in the data entry field and one (1) year in medical billing and claims resolution 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.
Basic use of a computer, telephone, internet, copier, fax, and scanner.
Basic touch 10 key skills.
Basic Math skills.
Understand and comply with company policies and procedures.
Strong oral, written, and interpersonal communication skills.
Strong time management and organizational skills.
Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.

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

denials specialist jobs in telangana

Denials Specialist

Collections Representative

Rejections Specialist

AR Specialist I

Accounts Receivable Specialist – Medical Billing

Subject Matter Expert - Clinical Specialist

AR calling, Hospital Billing-Specialist-Revenue Cycle Management Service

AR Calling, Hospital Billing-Specialist- Revenue Cycle Management Services

Supervisor, Coding Denials

Team Lead, Correspondence

Subject Matter Expert - Billing and Collections

AR Callers/SR AR Callers

Physician Accounts Receivable Specialist (US Health Care)

Charge Entry -QA (5 Jan 26)

Process Associate - Medical Billing

Hospital Billing Assistant Managers (UB04 AMs) 6th Feb- Hyd

Quality Lead - Profee

RCM Coding Analyst

Sr Associate - Authorization Denials specialist

RCM Coding Specialist

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