Job Family:
EBO Quality (India)Travel Required:
NoneClearance Required:
NoneWhat You Will Do:
Conduct quality audits on inpatient and observation accounts requiring Notification on Admission (NOA), in line with sampling guidelines.
Validate accurate submission of notifications through portals, EDI, fax, or calls, and ensure timely initiation of non-clinical authorizations.
Review documentation accuracy, including reference numbers, authorization numbers, payer timelines, and compliance requirements.
Perform root cause analysis on identified defects, develop CAPA plans, and track recurring trends such as missed NOAs, delays, and documentation gaps.
Provide actionable feedback on audit findings, support process clarifications, lead performance improvement discussions, and participate in periodic team reviews.
Prepare daily, weekly, and monthly quality reports, track SLA and accuracy metrics, and contribute to governance reviews.
Participate in calibration sessions, refresher initiatives, and training programs to strengthen process quality.
What You Will Need:
Strong knowledge of US Healthcare Revenue Cycle Management (RCM).
Strong understanding of Authorization and Notification on Admission (NOA) workflows, backed by relevant hands-on experience.
At least 3 years of experience in US Healthcare RCM.
Strong analytical, problem-solving, and attention-to-detail skills.
Good communication skills with the ability to provide clear, constructive feedback.
Prior experience in a QA or Auditor role.
Willingness to work on Night Shifts.
Any UG Degree - Mandatory (Diploma not eligible)
What Would Be Nice To Have:
Prior experience in Quality Audits / Quality Assurance within US Healthcare RCM
Exposure to multiple RCM functions (AR, Denials, Charge Entry, Payment Posting)
Experience in trend analysis, data interpretation, and quality reporting
Familiarity with audit tools, scorecards, and quality metrics
Knowledge of HIPAA compliance and quality standards
Ability to mentor team members and support performance improvement initiatives
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 [email protected]. 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.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Guidehouse is a leading global provider of consulting services to the public sector and commercial markets, with a focus on management, technology, and risk consulting.