Accounts Receivable Escalation Specialist

🔥 5 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 10%

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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 collections, resolve non-payables, and handle complex bill inquiries • Follow up on claim rejections and denials to ensure appropriate reimbursement • Process assigned accounts receivable work lists in a timely manner • Write and process appeals for claim denials • Identify and resolve denied, non-paid, and non-adjudicated claims and billing issues • Recommend accounts for write-off through Adjustment Requests • Report address and filing rule changes to the manager • Check systems for missing payments • Properly notate patient accounts • Review correspondence and determine specific problems • Research patient accounts and determine appropriate follow-up actions • Scan correspondence and index it to the proper account • Make inbound and outbound follow-up calls as required • Respond to and communicate with insurance companies regarding outstanding claims • Meet established production and quality standards • Perform special projects and other assigned duties

🎯 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 • Intermediate knowledge of medical billing rules, including coordination of benefits, modifiers, Medicare, and Medicaid, and understanding of EOBs • Become proficient in billing software within 5 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

🏖️ Benefits

• Ventra performance-based incentive plan • Referral bonus • Discretionary incentive bonus in accordance with company policies • Reasonable accommodations for qualified individuals with disabilities, as needed