Job Family: EBO Accounts Receivable (India)
Travel Required: None
Clearance Required: None
What You Will Do
- Should be able to manage a team of 15 to 20 FTE's.
- Ensure seamless day-to-day operations with consistent delivery against productivity, quality, and SLA targets.
- Monitor workflow, identify gaps, and implement timely corrective actions to maintain operational stability.
- Establish clear expectations, track individual and team performance, and provide structured coaching to drive results.
- Foster a culture of accountability, collaboration, and continuous performance improvement.
- Maintain adherence to defined quality standards through regular audits and structured RCA/CAPA initiatives.
- Responsible for identifying production and quality issues and putting plans in place for improvement as per the policy.
- Ensure compliance with established operational policies and procedures.
- Support effective denial resolution and contribute to AR optimization through timely follow-ups and issue identification.
- Analyse recurring denial trends and collaborate on corrective measures.
- Should review the inventory on daily basis and track inflow to make sure we are handling the inventory and allocation strategy done appropriately.
- Identify operational inefficiencies and support implementation of process improvements to enhance productivity and accuracy.
- Collaborate with internal stakeholders and support reporting, operational updates, and escalation management as required.
- Should be responsible for driving KPI Metrics, operational performance, process improvements, and stabilization.
- Will be responsible to resolve queries, account reviews and provide training in case required.
- Ensures daily update acknowledgements are sent promptly. Will be responsible to lead internal and external emails.
- Should work towards team engagement and retention/absenteeism.
- Should be good in Denial Management and should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors.
- Demonstrated ability to exceed performance targets.
- Ability to effectively prioritize individual and team.
- Active involvement in project launch sessions to understand the Associates process and track the daily progress during the launch period.
- Communicates well in front of groups, both large and small.
- 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
What You Will Need
- Must have bachelor's degree.
- 5+ Years' experience in RCM
- Strong English Communication Skills (Oral and written) and Analytical Skills required for AR Calling for Medical Billing Process.
What Would Be Nice To Have
- Superior problem-solving abilities
- Experience mentoring and training junior staffs.
- A flexible mindset to learn.
- Excellent detail-oriented skills and a highly reliable work ethic.
- Proficiency in Microsoft Office (Word, Outlook, Excel)
- Able to identify the automation opportunities for process betterment.
- Proactively identify risks, elevate issues, and support timely resolution
What We Offer
- Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
About Guidehouse
Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.