Lead Associate

Guidehouse; Hyderabad; On-site; INR 400,000 - 700,000; Full time

Job summary

Guidehouse is seeking a qualified EBO Accounts Receivable professional in India to manage AR workflows for US healthcare claims. You will initiate outreach, liaise with insurers on denials, and drive timely resolution while maintaining HIPAA and information security standards.

The role requires a graduate with 4+ years in US Healthcare AR, strong analytical and organizational skills, and the ability to multitask in a fast-paced environment. MS Office proficiency is preferred.

Qualifications

• Must be a graduate.
• Good voice and professional demeanour via phone.
• 4+ years of US Healthcare AR experience.
• Strong organizational skills with timely follow-up.
• Ability to multi-task.
• Excellent analytical skills in health care claims processing.

Responsibilities

• Initiate calls requesting status of claims in queue.
• Contact insurance companies for explanation of denials and underpayments.
• Take appropriate action on claims to guarantee resolution.
• Ensure accurate and timely follow up where required.
• Document actions taken in claims billing summary notes.
• Prioritize the pending claims for calling from the aging basket.
• Make a physical call following international norms and confidentiality and HIPAA compliance.
• Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims.
• Shall understand and abide by the organization’s information security policy and protect information assets.
• Shall report incidents related to information security to concerned authorities.

Skills

US Healthcare AR experience

Analytical skills

Multi-tasking

Communication skills

Organizational skills

Education

Bachelor's degree

Tools

MS Office Suite

Job description

Job Family

EBO Accounts Receivable (India)

Travel Required

None

Clearance Required

None

What You Will Do

• Initiate calls requesting status of claims in queue.
• Contact insurance companies for further explanation of denials and underpayments
• Take appropriate action on claims to guarantee resolution.
• Ensure accurate and timely follow up where required.
• Document actions taken in claims billing summary notes
• To prioritize the pending claims for calling from the aging basket
• To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
• Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims.
• Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets.
• Shall report incidents related to security of information to concerned authorities.

What You Will Need

• Must be a graduate
• Good voice and demonstrate professional demeanour via phone.
• Must have 4 + yrs of experience in US Healthcare stream in AR
• Good organizational skills demonstrating the ability to execute timely follow-up.
• Ability to multi-task.
• Excellent analytical skills with understanding of health care claims processing.

What Would Be Nice To Have

• Experience in MS Office Suite