Telangana Authorization specialist Jobs – 61 Open Jobs Today

Denials Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Basic math
Subject Matter Expert - Clinical Specialist
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
Specialist I, Regulatory
Velocity Clinical Research, Inc. —Hyderabad, Telangana
- Full-time
- English
- Microsoft Office
- 12th Pass
- Health insurance
- Paid time off
Quick apply
9d
People Technology Support Specialist
Aveva —Hyderabad, Telangana
- Full-time
- Customer service
- Continuous improvement
- Communication skills
- Health insurance
Rejections Specialist
Ventra Health, Inc. —Hyderabad, Telangana
- Full-time
- 12th Pass
- Math
- Organisational skills
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
AI Talent Acquisition Specialist (US Staffing – IT & Non-IT)
Ray Solutions PVT LTD —Banjara Hills, Hyderabad, Telangana
- ₹11,230.70 - ₹42,419.29 a month
- Full-time
- Azure
- Salesforce
- Java
Quick apply
Manager-Analytical & Data Verification
Amgen —Hyderabad, Telangana
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
Team Lead, Correspondence
Nimble Solutions —Hyderabad, Telangana
- Management
- Microsoft Office
- Analysis skills
Quick apply
Security Monitoring and Badging Specialist
Pinkerton —Hyderabad, Telangana
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
10d
Subject Matter Expert - Billing and Collections
Enovis —Hyderabad, Telangana
- Full-time
- Nursing
- Analysis skills
- Bachelor's degree
- Health insurance
- Life insurance
Talent Acquisition Specialist (US IT/Non-IT Recruiter)
NationsBenefits, LLC —Hyderabad, Telangana
- Recruiting
- Communication skills
- Negotiation
- Commuter assistance
Quick apply
3d
Senior Technical Application Specialist
Lloyds Technology Centre —Hyderabad, Telangana
- Full-time
Team Leader, Intake
Cohere Health —Hyderabad, Telangana
- Customer service
- HIPAA
- Microsoft Office
Quick apply
11d
Info Security Controls Specialist II B
Bank of America —Hyderabad, Telangana
- Full-time
- Azure
- DevOps
- Master's degree
3d
SAP Technical & Functional Specialists | Face-to-Face Hiring Drive | Hyderabad
Elfonze Technologies —Hyderabad, Telangana
- Full-time
- Walk-in
Claims Auditor
Cohere Health —Hyderabad, Telangana
- HIPAA
- English
- Analysis skills
Quick apply
Strada Pay CoE Team Lead (SPIs)
Strada Global —Hyderabad, Telangana
- Oracle
- Analysis skills
- Agile
- Health insurance
- Paid time off
11d
Senior Associate - Biobank Specialist
Amgen —Hyderabad, Telangana
- Azure
- Software troubleshooting
- Salesforce
6d
Intake Specialist Voice
Cohere Health —Nacharam, Hyderabad, Telangana
- Customer service
- HIPAA
- English
Quick apply
11d

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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

authorization specialist jobs in telangana

Denials Specialist

Subject Matter Expert - Clinical Specialist

Specialist I, Regulatory

People Technology Support Specialist

Rejections Specialist

Accounts Receivable Specialist – Medical Billing

AI Talent Acquisition Specialist (US Staffing – IT & Non-IT)

Manager-Analytical & Data Verification

Team Lead, Correspondence

Security Monitoring and Badging Specialist

Subject Matter Expert - Billing and Collections

Talent Acquisition Specialist (US IT/Non-IT Recruiter)

Senior Technical Application Specialist

Team Leader, Intake

Info Security Controls Specialist II B

SAP Technical & Functional Specialists | Face-to-Face Hiring Drive | Hyderabad

Claims Auditor

Strada Pay CoE Team Lead (SPIs)

Senior Associate - Biobank Specialist

Intake Specialist Voice

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