Guidehouse
Healthcare
AssociateAR
Neural analysis suggests this role is
optimal for Entry candidates.
“Associate AR at Guidehouse. Skills: Accounts Receivable, Payer portals, Claim corrections. Identify inpatient/observation accounts requiring NOA. Submit notifications via payer portals, EDI, fax, or”
What You'll Achieve.
NOA Timeliness Compliance (%); First-Pass Submission Accuracy; Denial Prevention Rate; Productivity (Accounts/Day); Follow-Up Turnaround Time (TAT)
Industry & Context.
Willingness to work night shifts
What They're Looking For.
Must Have
Graduate, 1+ yrs of experience in US Healthcare AR, English spoken communication skills, English reading and writing skills, Typing speeds of 25 WPM or above
Nice to Have
NOA skills preferred, MS Office Suite experience
What You'll Do.
Identify inpatient/observation accounts requiring NOA
Submit notifications via payer portals
Initiate non-clinical authorizations
Document reference / authorization numbers in the system
Track status and perform timely follow-up on pending
Ensure compliance with payer timeliness requirements
Maintain accurate documentation in system notes / billing
Prioritize pending claims for calling from aging basket
Make physical calls following international norms
Make required corrections to claims
Understand and abide by information security policy
Protect confidentiality
integrity and availability of information assets
Report incidents related to security of information
How You'll Work.
Communication Scope
Payer communication channels
Full Job Description
**_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 * Must have 1 + yrs of experience in US Healthcare stream in AR * Strong English spoken communication skills and also required reading and writing * Willingness to work night shifts * Typing speeds of 25 WPM or above * Ability to handle payer communication c
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