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.

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
- Solid 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
- Typing speeds of 25 WPM or above
- Ability to handle payer communication channels (portals, EDI, fax, calls)
- Detail understand

📌 Senior Associate AR (Hyderabad)
🏢 Guidehouse
📍 Hyderabad