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Guidehouse

Advises agencies and runs regulated operations

Associate Accounts Receivable

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeChennai, Tamil Nadu, IndiaNo salary listedIn-person

About the Job

Requirements

  • A graduate qualification is required.
  • At least 1 year of experience in the US healthcare stream in accounts receivable is required.
  • Strong spoken English communication skills, along with English reading and writing skills, are required.
  • Willingness to work night shifts is required.
  • Typing speed of at least 25 words per minute is required.
  • Ability to handle payer communication channels, including portals, electronic data interchange, fax, and calls, is required.
  • Understanding and documentation of accounts receivable follow-up and denial-management processes is required.
  • The role requires working in accordance with confidentiality and HIPAA compliance requirements.
  • The role requires adherence to the organization's information security policy and protection of the confidentiality, integrity, and availability of information assets.
  • Security-related information incidents must be reported to the appropriate authorities.

Responsibilities

  • Identify inpatient or observation accounts that require Notification of Admission.
  • Submit notifications through payer portals, electronic data interchange, fax, or calls.
  • Initiate non-clinical authorizations where applicable.
  • Document reference and authorization numbers in the system.
  • Track status and follow up promptly on pending or rejected submissions.
  • Ensure compliance with payer timeliness requirements.
  • Maintain accurate documentation in system notes and billing summaries.
  • Prioritize pending claims for calls from the aging basket and make calls in accordance with applicable international norms and confidentiality requirements.
  • Work denials, rejections, and letters of authorization associated with accounts, making required claim corrections.
  • Perform Notification of Admission submission, payer follow-up, and documentation; clinical review, medical-necessity determinations, level-of-care decisions, appeals, and physician-advisor services are outside the role's scope.

Desired Qualifications

  • Experience with the Microsoft Office Suite is preferred.
  • Notification of Admission skills are preferred.

About the Company

Guidehouse

Advises agencies and runs regulated operations

Guidehouse advises government agencies and companies in regulated industries on strategy, technology and day-to-day operations. Its work combines business advice with software implementation and ongoing management, so a client uses the same firm to plan a change, build the systems and run the resulting processes. Teams modernize cloud platforms, apply data analysis and artificial intelligence, and redesign organizations to meet operating and regulatory requirements. Clients pay for consulting projects and technology work or outsource continuing business functions to its managed services teams. Guidehouse was founded in 2018 and is headquartered in McLean, Virginia.

Company size
10,001+
Company stage
Acquired
Total funding
$750K
Headquarters
McLean, VA
Founded
2018

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