About the job
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.
- NOA submission
- Payer follow-up
- Documentation
- 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
- Willingness to work night shifts
- 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
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