Senior Associate AR

Guidehouse; Hyderabad; On-site; INR 450,000 - 650,000; Full time

Job summary

Guidehouse in Hyderabad, India is seeking a skilled AR professional to manage denials, follow-ups, and claim resolutions in the US Healthcare space.

You will initiate calls to check status, contact insurers for explanations, and document actions in the claims billing system, with strict HIPAA compliance.

Candidates should have 4+ years of US Healthcare AR experience, strong communication, organization, and analytical abilities, plus MS Office proficiency.

Qualifications

• Must be a graduate.
• 4+ years of experience in US Healthcare AR.
• Good voice and professional demeanor for phone interactions.
• Strong analytical skills with understanding of health care claims processing.
• Excellent organizational skills with ability to execute timely follow-up.

Responsibilities

• Initiate calls to obtain status of claims in queue.
• Contact insurance companies for denial explanations and underpayments.
• Take actions to resolve claims and ensure timely follow-up.
• Document actions in claims billing summary notes.
• Prioritize pending claims from aging basket.
• Adhere to confidentiality and HIPAA requirements and report security incidents.

Skills

Strong communication

Phone etiquette

Analytical skills

Organizational skills

Multi-tasking

Education

Graduate degree or equivalent

Tools

MS Office Suite

Job description

Job Family

EBO Accounts Receivable (India)

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