Sr Associate AR

Guidehouse

Chennai

On-site

INR 400,000 - 650,000

Full time

11 days ago

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Job summary

Guidehouse is seeking an EBO Accounts Receivable specialist in India to manage NOA submissions and payer follow-ups. You will document authorizations, track submissions, and ensure timely responses within HIPAA guidelines.

The role requires 2+ years in US healthcare AR, strong English communication, and willingness to work night shifts while handling multiple payer channels and NOA-related tasks.

Qualifications

  • Must be a Graduate.
  • 2+ years of experience in US Healthcare AR required.
  • Willingness to work night shifts.
  • Ability to handle payer communication channels (portals, EDI, fax, calls).
  • Detail-oriented with AR follow-up and denial management processes (NOA preferred).

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 follow-up on pending / rejected submissions.
  • Ensure compliance with payer timeliness requirements.
  • Maintain documentation in system notes / billing summary.
  • Prioritize pending claims for outreach per confidentiality and HIPAA rules.
  • Work on denials, rejections, LOAs and corrections to claims.

Skills

English communication
Night shift
US payer communication

Education

Graduate

Tools

MS Office Suite

Job description

Job Family EBO Accounts Receivable (India)

Travel Required None

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
  • 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.
Scope

Included:

  • NOA submission
  • Payer follow-up
  • Documentation

Excluded:

  • Clinical review / medical necessity
  • Level-of-care decisions
  • Appeals physician advisor services
Account Exclusions
  • 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)
Requirements
  • 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)
Nice To Have
  • Experience in MS Office Suite
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