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Rejections Specialist Trainee

Ventra Health
Ventra health
2+ years
preferred by company
Chennai, India
1 May 12, 2026
Job Description
Job Type: Full Time Education: M.Pharm/B.Pharm or M.Sc. Skills: ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding

Rejections Specialist Trainee

Job Category: Healthcare Revenue Cycle Management / Medical Billing
Department: Pre-Bill Operations / Rejections Management
Business Unit: Emergency & Hospital Medicine
Location: Perungudi, Chennai, India
Work Mode: Onsite
Employment Type: Full-Time
Shift: Day Shift
Experience Required: 2+ Years Preferred (Freshers Not Eligible)

About the Role

A leading healthcare revenue cycle management organization is seeking a detail-oriented Rejections Specialist Trainee to join its pre-bill healthcare operations team in Chennai. This role is ideal for professionals with experience in medical billing, claim rejection management, insurance payer follow-up, healthcare accounts receivable, denial resolution, and reimbursement operations.

The selected candidate will be responsible for managing claim rejections, resolving billing discrepancies, coordinating with insurance payers, processing appeals, and ensuring healthcare claims are reimbursed accurately according to contractual and regulatory guidelines.

This role offers an excellent opportunity for professionals looking to strengthen their career in healthcare revenue cycle management, claims processing, denial prevention, insurance billing, and reimbursement operations.

Key Responsibilities

  • Follow up on healthcare claim rejections and denials to ensure accurate reimbursement.
  • Process assigned accounts receivable and rejection management worklists within defined timelines.
  • Prepare and submit claim appeals using established reimbursement and billing guidelines.
  • Investigate and resolve:
    • Denied claims
    • Non-paid claims
    • Non-adjudicated claims
    • Coverage-related billing issues
    • Authorization-related claim delays
    • Medical record documentation issues
  • Review patient billing correspondence to identify claim problems and determine corrective actions.
  • Research patient accounts and recommend adjustments or write-offs where applicable.
  • Verify missing payments and reconcile claim discrepancies.
  • Properly document account activities, payer responses, and claim follow-up actions.
  • Communicate with insurance providers regarding outstanding claims and reimbursement status.
  • Handle inbound and outbound claim follow-up communication as required.
  • Navigate payer portals and websites to obtain Explanation of Benefits (EOBs).
  • Meet established productivity, reimbursement, and quality benchmarks.
  • Support operational projects and workflow improvement initiatives as assigned.

Required Qualifications

  • High School Diploma or equivalent qualification
  • Minimum 2 years of healthcare billing or insurance payment posting experience
  • Minimum 2 years of experience reading and interpreting insurance Explanation of Benefits (EOBs) preferred
  • Experience in:
    • Healthcare accounts receivable
    • Insurance claim follow-up
    • Medical billing operations
    • Denial or rejection resolution

Preferred Qualifications

Candidates with the following qualifications will be preferred:

  • AAHAM certification
  • HFMA certification
  • Experience working with offshore healthcare operations teams
  • Exposure to payer portal navigation and reimbursement workflows

Core Skills & Expertise

  • Strong understanding of:
    • Medical billing rules
    • Coordination of benefits
    • Medicare and Medicaid billing
    • Claim modifiers
    • Insurance EOB interpretation
    • Healthcare reimbursement workflows
  • Ability to quickly become proficient in billing software platforms
  • Strong balancing and reconciliation capabilities
  • Strong 10-key calculator proficiency
  • Excellent mathematical, analytical, and problem-solving skills
  • Strong written, verbal, and interpersonal communication skills
  • Excellent time management and organizational abilities
  • Ability to interpret healthcare billing regulations and compliance requirements
  • Comfortable working in collaborative, fast-paced healthcare environments