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Accounts Receivable Specialist

Ventra Health
Ventra health
1-2 years
preferred by company
Hyderabad
1 May 12, 2026
Job Description
Job Type: Full Time Education: M.Pharm/B.Pharm or M.Sc. Skills: Medical Billing, Medical Coding, Medical Terminology, mRS and EQ-5D-5L., Narrative Writing, Research & Development

 

Accounts Receivable Specialist

Job Category: Healthcare Revenue Cycle Management / Medical Billing
Department: Accounts Receivable Operations
Business Unit: Emergency Healthcare Services
Location: Hyderabad, India
Work Mode: Onsite
Employment Type: Full-Time
Shift: Night Shift
Experience Required: 1–2 Years Preferred (Freshers May Be Considered with Relevant Skills)

About the Role

A leading healthcare revenue cycle management organization is seeking a detail-oriented Accounts Receivable Specialist to join its healthcare billing and reimbursement operations team in Hyderabad. This role is ideal for professionals with experience in medical billing, claims follow-up, denial management, insurance collections, healthcare reimbursement, and accounts receivable operations.

The selected candidate will be responsible for managing claim follow-ups, resolving denied or unpaid claims, coordinating with insurance providers, handling appeals, and ensuring timely reimbursement according to payer contracts and billing compliance standards.

This opportunity is ideal for professionals seeking career growth in healthcare revenue cycle management, medical claims processing, insurance billing, denial resolution, and accounts receivable operations.

Key Responsibilities

  • Follow up on insurance claim rejections, denials, and unpaid accounts to secure appropriate reimbursement.
  • Process assigned accounts receivable worklists within established turnaround timelines.
  • Prepare and submit appeals for denied claims using established healthcare billing guidelines.
  • Investigate and resolve non-paid, non-adjudicated, or denied claims related to:
    • Coverage verification issues
    • Authorization delays
    • Medical documentation requests
    • Billing discrepancies
  • Review patient accounts and determine appropriate next actions including adjustments, correspondence, insurance follow-up, or escalations.
  • Identify missing payments and reconcile account discrepancies.
  • Properly document all account activity, claim actions, and payer communication.
  • Respond to insurance company inquiries regarding outstanding healthcare claims.
  • Conduct inbound and outbound follow-up communication related to claim resolution.
  • Recommend eligible accounts for write-offs according to internal adjustment procedures.
  • Monitor billing rule changes and communicate payer or filing updates to management.
  • Meet established production, quality, and performance standards.
  • Support operational improvement initiatives and additional healthcare billing projects as required.

Required Qualifications

  • High School Diploma, GED, or equivalent qualification
  • Minimum 1 year of medical billing, claims resolution, or accounts receivable experience preferred
  • Experience in data entry, healthcare billing, or insurance claims processing is advantageous
  • Strong understanding of healthcare reimbursement workflows and payer follow-up processes

Preferred Qualifications

Candidates with the following qualifications will have an advantage:

  • Certifications such as:
    • AAHAM
    • HFMA
  • Experience collaborating with offshore healthcare operations teams
  • Exposure to medical claims appeals and denial management processes

Core Skills & Expertise

  • Strong understanding of:
    • Medical billing workflows
    • Coordination of benefits
    • Claim modifiers
    • Medicare and Medicaid billing
    • Explanation of Benefits (EOB) interpretation
  • Ability to quickly learn and operate billing software systems
  • Strong knowledge of:
    • Microsoft Outlook
    • Microsoft Word
    • Microsoft Excel (including Pivot Tables)
    • Database systems
  • Basic computer, internet, scanner, copier, and telephony skills
  • Strong numerical accuracy and attention to detail
  • Excellent communication and interpersonal skills
  • Strong time management and organizational abilities
  • Ability to interpret billing rules, healthcare policies, and payer regulations
  • Ability to work effectively in a fast-paced healthcare operations environment