Job Family:
EBO Accounts Receivable (India)
Travel Required:
None
Clearance Required:
None
What You Will Do:
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Identify inpatient/observation accounts requiring NOA (Notification of Admission)
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Submit notifications via payer portals, EDI, fax, or calls
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Initiate non-clinical authorizations where applicable
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Document reference / authorization numbers in the system
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Track status and perform timely follow-up on pending / rejected submissions
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Ensure compliance with payer timeliness requirements
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Maintain accurate documentation in system notes / billing summary
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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.
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Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
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Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets.
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Shall report incidents related to security of information to concerned authorities.
Scope & Boundaries:
Included:
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NOA submission
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Payer follow-up
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Documentation
Excluded:
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Clinical review / medical necessity
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Level-of-care decisions
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Appeals & physician advisor services
Account Exclusions (as per SOP):
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Medicare FFS
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Self-pay / charity
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Workers’ Compensation / liability
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Hospice / research
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Other payer-specific exclusions
Key KPIs:
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NOA Timeliness Compliance (%)
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First-Pass Submission Accuracy
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Denial Prevention Rate
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Productivity (Accounts/Day)
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Follow-Up Turnaround Time (TAT)
What You Will Need:
What Would Be Nice To Have:
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Experience in MS Office Suite
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.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
