Description

The position is in the EBO Accounts Receivable family for India, with no travel or clearance requirements. The role involves initiating calls to check the status of claims, contacting insurance companies for explanations of denials and underpayments, and taking appropriate actions to ensure claim resolution. It also includes documenting actions in billing summary notes and prioritizing pending claims from the aging basket while following international norms, confidentiality, and HIPAA compliance.

The incumbent will work on denials, rejections, and letters of authorization, making necessary corrections to claims. They must adhere to the organization’s information security policy, protecting confidentiality, integrity, and availability of information assets, and report any security incidents to the appropriate authorities.

• Initiate claim status calls and follow up on pending claims.
• Contact insurance companies to clarify denials and underpayments.
• Take corrective actions to resolve claims and document actions in billing notes.
• Prioritize and call from the aging claims basket while complying with HIPAA and confidentiality standards.
• Manage denials, rejections, and LOAs, correcting claim information as needed.
• Ensure compliance with information security policies and report security incidents.

Requirements

Candidates must be graduates with good written and verbal communication skills and be willing to work night shifts. Experience with the MS Office suite is preferred.

• Require graduate degree, strong communication skills, and willingness to work night shifts; MS Office experience is a plus.

Benefits

Guidehouse offers a comprehensive total‑rewards package that includes competitive compensation and a flexible benefits program, reflecting its commitment to a diverse and supportive workplace. The company emphasizes employee well‑being and professional growth.

Training + Development

Interview process

Visa Sponsorship

Security clearance