Lead Associate AR

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
• Strong 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

About Guidehouse India

At Guidehouse India, we’re redefining what’s possible by creating opportunities that change lives. Guidehouse is a global professional services firm that delivers advisory, technology, and managed services to clients across both the commercial and public sectors. Our teams turn bold ideas into solutions that transform industries, strengthen communities, and drive meaningful impact worldwide.

Across our Chennai, Trivandrum, and Gurugram locations, you’ll find opportunities where your passion and curiosity help shape what comes next. With cutting edge benefits, innovative learning and development programs, and a people first culture, we empower our people to lead with purpose.

We continue to expand our teams and capabilities across India, investing in state-of-the-art offices and high impact work. Here, you’ll collaborate with experts from around the world, build deep expertise, explore new domains, and accelerate your professional growth while making a real impact.

What We Offer

At Guidehouse India, we are committed to supporting the well-being of our people and their families at every stage of life. We offer competitive compensation and a comprehensive benefits package designed to help you thrive both inside and outside the workplace.

Our benefits include resources such as in house physician consultations, nutritious food options at the workplace, and confidential counseling through our Employee Assistance Program, along with other wellness focused offerings that support your overall well being.

Our comprehensive learning and development programs ensure you’re continuously upskilled and ready to tackle what’s next, so you can shape your own career path while contributing to meaningful, purpose driven work.

Important Fraud Notice

All official recruitment communications from Guidehouse will come from email addresses ending in @guidehouse.com or @myworkday.com. Guidehouse never charges fees, requests money transfers, or collects payments from educational institutions for recruitment events. Please do not share banking or personal financial information with anyone claiming to represent Guidehouse for hiring purposes.

Contact Us

If you have visited our website to explore career opportunities or to apply for a position and have questions, please contact the Guidehouse Recruiting team at IndiaRecruiting@guidehouse.com. All information you provide will be kept confidential and used only as required to support the recruitment process.

To learn more about Guidehouse in India, visit www.guidehouse.com/india.

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.