الوصف الوظيفي
Job Family:EBO Accounts Receivable (India)Travel Required:NoneClearance Required:NoneJob DescriptionLevel Description- Senior individual contributor focused on routine delivery, requiring moderate experience- Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures- Requires general instructions for new types of work or special assignmentsOrganization Impact & Communication- Delivers day-to-day objectives within own job area, exercises autonomy in applying standards and procedures- Explains practices, procedures and policies that may require providing additional information or some interpretation to reach agreement • Communicates with contacts within and outside the practice area to obtain or provide information on matters related to job areaInnovation & Complexity- Senior individual contributor focused on routine delivery, requiring moderate experience- Completes tasks that are sometimes routine, with some deviation from standard practice- Problems and issues faced are difficult, and may require understanding of broader area of knowledge or experience to complete tasksLeadership & Talent Management- Requires general instructions for new types of work or special assignments- Works under moderate or limited supervisionKnowledge & Experience- Requires broad knowledge of support services and activities typically gained through extensive experience- Typically requires a high school diploma and 3-5 years of prior relevant experience; some roles may require vocational or technical education (Relevant experience may be substituted for formal education)Job PostingWhat You Will Do:The Lead Accounts Receivable Analyst performs account review and claims follow-up on outstanding accounts. Analyst is responsible resubmitting claims, contacting insurance companies, analyzing remittances and taking appropriate action on rejections and denials.Operational Responsibilities: Review patient ledgers with outstanding charges and take next best action for follow up to collect balances.Verify insurance eligibility and update patient accounts based on client-specific SOPsInvestigate claims status and next best action for open accounts via available insurance websites.Call insurance companies to investigate claims status, identify appeals action and next best action to resolve accounts.Identify claim denial trends or provider related issues that delay or reduce reimbursement.Meet or exceed targeted productivity levels on a daily/monthly basisPerform work with exceptionally high quality. Meet or exceed target quality levels.Commitment to work as a member of a team to meet and exceed client-specific SLAs.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.What You Will Need:Bachelor’s degree in a related field (BBA, B.Com, BSc, B Tech, etc) from an accredited college or university.At least 1+ years of experience working in a revenue cycle with at least one year of experience working on A/R follow up processes (voice). Advanced understanding of US healthcare including Medicaid, Medicare, private insurance and basic medical & billing terminology.Excellent English language skills and verbal English skills with low to neutral accent. Strong organizational, quantitative and analytical skills.Strong problem-solving skillsExcellent keyboarding skillsProficiency in Microsoft Office (Word, Outlook, Excel)What Would Be Nice To Have: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 GuidehouseGuidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.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 via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.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.
