Revenue Integrity AR Specialist

🕒 August 19

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 11%

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Ventra Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2021

🏥 Healthcare

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Ventra Health is a healthcare revenue cycle management (RCM) company that provides end-to-end medical billing, coding, claims management, denial prevention, payer contracting, and collections services for hospitals, health systems, and physician practices across the U. S. Its offerings combine domain expertise and white‑glove client service with proprietary data and AI-powered platforms—vCision (AI & automation) and vSight (data & analytics)—to improve reimbursement, reduce denials, accelerate cash collections, and deliver measurable RCM performance improvements. Ventra emphasizes enterprise service delivery, provider education, compliance and coding audits, patient responsibility management, and payer strategy, serving thousands of providers and facilities nationwide.

📋 Description

• Analyze payer payment variances across Radiology, Anesthesia, and Emergency/Hospital Medicine business units • Identify and remove false positives from inventory • Resolve underpayments for clients according to specific payer contracts • Identify and resolve contract variances by reviewing contract language and rates • Collaborate with internal departments and work directly with payers • Submit project appeals, preferably in bulk, related to contract performance variances • Prepare and submit underpayment appeals using established guidelines • Accurately document patient accounts in source systems • Process and follow up on appeals, including inbound and outbound calls • Communicate with insurance companies regarding outstanding appeal status • Meet established production and quality standards • Perform special projects and other assigned duties

🎯 Requirements

• High School Diploma or GED • At least three (3) years of experience in medical billing specifically resolving Accounts Receivable, contacting insurance carriers, using payer portals, completing appeals, identifying and communicating trends • Experience with offshore engagement and collaboration desired • Knowledge of State, Federal, and Managed Care regulatory guidelines • Knowledge of benefit insurance billing and contract management • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software • Strong oral, written, and interpersonal communication skills • Strong decision-making, problem-solving, and time management skills • Basic word processing, spreadsheet, database, and presentation software skills • Basic mathematical skills, including percentages and decimals • Ability to read, understand, and apply state/federal laws, regulations, and policies • Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately • 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 • Become proficient in billing software within 4 weeks and maintain proficiency • Understand and comply with company policies and procedures

🏖️ Benefits

• Ventra performance-based incentive plan • Discretionary incentive bonus in accordance with company policies • Referral bonus for referring a friend • Reasonable accommodations for qualified individuals with disabilities