Senior Associate AR

Guidehouse; Chennai District; On-site; INR 450,000 - 600,000; Full time

Job summary

Guidehouse India is seeking an EBO Accounts Receivable specialist for NOA submission and payer follow-up. The role involves documenting references, tracking submissions, and ensuring timeliness with payers.

Responsibilities include handling denials and LOAs, maintaining compliance with information security policies, and communicating via portals, EDI, fax, and calls. The candidate should have 2+ years in US Healthcare AR and be willing to work night shifts.

Qualifications

• Must be a Graduate
• Strong English spoken communication skills and also required reading and writing
• Must have 2+ yrs of experience in US Healthcare stream in AR
• Willingness to work night shifts
• Ability to handle payer communication channels (portals, EDI, fax, calls)
• Detail understanding and documentation of AR follow-up and denial management processes (Preferred NOA skills)

Responsibilities

• Identify inpatient/observation accounts requiring NOA (Notification of Admission)
• Submit notifications via payer portals, EDI, fax, or calls
• Initiate non-clinical authorizations where applicable
• Document reference / authorization numbers in the system
• Track status and perform timely follow-up on pending / rejected submissions
• Ensure compliance with payer timeliness requirements
• Maintain accurate documentation in system notes / billing summary
• Prioritize pending claims for calling from aging basket and make a physical call with confidentiality and HIPAA compliance
• Work on Denials, Rejections, LOA's to accounts and make required corrections to claims
• Adhere to information security policy and report incidents to authorities

Skills

Graduate

English proficiency

US Healthcare AR

Night shifts

Payer communication

Education

Graduate

Tools

MS Office Suite

Job description

• Identify inpatient/observation accounts requiring NOA (Notification of Admission)
• Submit notifications via payer portals, EDI, fax, or calls
• Initiate non-clinical authorizations where applicable
• Document reference / authorization numbers in the system
• Track status and perform timely follow-up on pending / rejected submissions
• Ensure compliance with payer timeliness requirements
• Maintain accurate documentation in system notes / billing summary
• 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, LOA's 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.

Job Family

EBO Accounts Receivable (India)

Travel Required

None

Clearance Required

None

What You Will Do

• Identify inpatient/observation accounts requiring NOA (Notification of Admission)
• Submit notifications via payer portals, EDI, fax, or calls
• Initiate non-clinical authorizations where applicable
• Document reference / authorization numbers in the system
• Track status and perform timely follow-up on pending / rejected submissions
• Ensure compliance with payer timeliness requirements
• Maintain accurate documentation in system notes / billing summary
• 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, LOA's 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.

Included

Scope & Boundaries

• NOA submission
• Payer follow-up
• Documentation

Excluded

• Clinical review / medical necessity
• Level-of-care decisions
• Appeals & physician advisor services

Account Exclusions (as Per SOP)

• Medicare FFS
• Self-pay / charity
• Workers' Compensation / liability
• Hospice / research
• Other payer-specific exclusions

Key KPIs

• NOA Timeliness Compliance (%)
• First-Pass Submission Accuracy
• Denial Prevention Rate
• Productivity (Accounts/Day)
• Follow-Up Turnaround Time (TAT)

What You Will Need

• Must be a Graduate
• Strong English spoken communication skills and also required reading and writing
• Must have 2 + yrs of experience in US Healthcare stream in AR
• Willingness to work night shifts
• Ability to handle payer communication channels (portals, EDI, fax, calls)
• Detail understanding and documentation of AR follow-up and denial management processes (Preferred NOA skills)

What Would Be Nice To Have

Experience in MS Office Suite

About Guidehouse India

At Guidehouse India, we're redefining what's possible by creating opportunities that change lives. Guidehouse is a global professional services firm that delivers advisory, technology, and managed services to clients across both the commercial and public sectors. Our teams turn bold ideas into solutions that transform industries, strengthen communities, and drive meaningful impact worldwide.

Across our Chennai, Trivandrum, and Gurugram locations, you'll find opportunities where your passion and curiosity help shape what comes next. With cutting edge benefits, innovative learning and development programs, and a people first culture, we empower our people to lead with purpose.

We continue to expand our teams and capabilities across India, investing in state of the art offices and high impact work. Here, you'll collaborate with experts from around the world, build deep expertise, explore new domains, and accelerate your professional growth while making a real impact.

What We Offer

At Guidehouse India, we are committed to supporting the well-being of our people and their families at every stage of life. We offer competitive compensation and a comprehensive benefits package designed to help you thrive both inside and outside the workplace.

Our benefits include resources such as in house physician consultations, nutritious food options at the workplace, and confidential counseling through our Employee Assistance Program, along with other wellness focused offerings that support your overall well being.

Our comprehensive learning and development programs ensure you're continuously upskilled and ready to tackle what's next, so you can shape your own career path while contributing to meaningful, purpose driven work.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.