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Rejections Specialist Trainee (Healthcare Revenue Cycle Management)

Ventra Health
Ventra health
2+ years
preferred by company
Chennai, India
1 May 13, 2026
Job Description
Job Type: Full Time Education: M.Pharm/B.Pharm or M.Sc. Skills: Clinical Trials, Detail-Oriented, Drug Development, Lifesciences, Negotiation Skills, Regulatory Compliance, Clinical Trials, Functional Teams, Literature Review, Management Skills, Medical Information, Medical Records, Medical Strategy, Pharmacovigilance, Regulatory Compliance, Risk Management, Safety Scien, Coaching Skills, Data Science, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Pro, Collaboration, Communication Skills, gmp, GMP Guidelines, Operational Excellence, Problem Solving Skills, Quality Agreements, Quality Compliance, Quality Management, Quality Standards, Regulatory Requ, Communication Skills

Job Title: Rejections Specialist Trainee (Healthcare Revenue Cycle Management)

Location: Perungudi, Chennai, India
Work Mode: Onsite
Shift: Day Shift
Employment Type: Full-Time
Industry: Healthcare / Revenue Cycle Management / Medical Billing / Insurance Claims / Healthcare BPO

About the Role

We are hiring a Rejections Specialist Trainee to support healthcare pre-bill operations, insurance claim rejection handling, denial resolution, payer follow-up, and reimbursement management within a US healthcare revenue cycle environment.

This role is ideal for candidates with experience in medical billing, insurance payment posting, EOB analysis, claims follow-up, denial management, and healthcare accounts receivable operations.

The ideal candidate will investigate claim rejections, coordinate with insurance payers, resolve reimbursement issues, process appeals, and ensure accurate claim resolution while maintaining quality and productivity standards.


Key Responsibilities

Claim Rejections & Denial Management

  • Review and follow up on:
    • Claim rejections
    • Claim denials
    • Non-payable claims
    • Non-adjudicated claims
  • Identify root causes such as:
    • Coverage issues
    • Authorization issues
    • Missing documentation
    • Medical record requests
    • Billing discrepancies
  • Ensure timely claim correction and reimbursement resolution.

Insurance Payer Follow-up

  • Communicate with insurance companies regarding outstanding claims.
  • Handle payer inquiries through inbound and outbound communication.
  • Follow up on unresolved claims until closure.
  • Ensure payments align with client contracts and reimbursement expectations.

Appeals Processing

  • Prepare and submit appeals for denied claims using established guidelines.
  • Follow up on submitted appeals to drive faster reimbursement.
  • Aim for first-contact claim resolution wherever possible.

Accounts Receivable Support

  • Process assigned AR worklists provided by management.
  • Prioritize claims requiring urgent follow-up.
  • Review account aging and reimbursement delays.
  • Support claims recovery and payment optimization efforts.

Payment Investigation & EOB Analysis

  • Review insurance Explanation of Benefits (EOBs) to identify payment discrepancies.
  • Navigate payer portals/websites to retrieve EOBs and payment details.
  • Check systems for:
    • Missing payments
    • Underpayments
    • Payment mismatches
    • Billing issues
  • Support reconciliation and payment accuracy.

Patient Account Research

  • Research patient accounts to determine claim issues and follow-up actions.
  • Review correspondence, claim history, and account notes.
  • Properly document all claim activities and reimbursement actions.

Billing Compliance

  • Apply working knowledge of:
    • Medicare
    • Medicaid
    • Coordination of Benefits (COB)
    • Billing modifiers
    • Insurance payment workflows
    • US healthcare billing compliance
  • Ensure adherence to billing standards and applicable regulations.

Productivity & Quality Management

  • Meet established productivity, turnaround time, and quality targets.
  • Maintain accuracy in claim handling and account documentation.
  • Support operational excellence in reimbursement workflows.

Additional Responsibilities

  • Perform special projects and assigned operational tasks.
  • Support healthcare reimbursement improvement initiatives.

Required Qualifications

  • High School Diploma / Equivalent

Experience Required

  • 2+ years of experience in insurance payment posting within a healthcare environment
  • Preferred:
    • 2+ years of EOB reading / interpretation
    • Medical billing experience
    • Claims follow-up experience