Junior Associate AR

Key Responsibilities

• 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.
• Prioritize pending claims for calling from the aging basket, following international norms and applicable rules for confidentiality and HIPAA compliance.
• Work on Denials, Rejections, LOA's, making required corrections to claims.
• Understand and abide by the organization’s information security policy and protect the confidentiality, integrity and availability of all information assets.
• Report incidents related to security of information to concerned authorities.

Performance Metrics

• NOA submission
• Payer follow-up
• Documentation
• NOA Timeliness Compliance (%)
• First-Pass Submission Accuracy
• Denial Prevention Rate
• Productivity (Accounts/Day)
• Follow-Up Turnaround Time (TAT)

Requirements & Tech Stack

• Graduate degree.
• Strong English spoken communication skills.
• Required reading and writing skills in English.
• 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.