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, 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 & Boundaries:

Included:
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
Robust English spoken communication skills and also required reading and writing
Must have 4 + yrs of experience in US Healthcare stream in AR
Willingness to work night shifts
Typing speeds of 25 WPM or above
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

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Lead Associate Ar Telangana (India)
🏢 Guidehouse
📍 India