AR Calling - RCMS - Specialist

Overview

Support revenue cycle activities for healthcare clients through detailed calling, account follow-up, and issue resolution within PwC's Managed Services practice, as an AR Calling - RCMS Specialist.

What you'll do

• Manage account activity and track payment status for healthcare revenue cycle accounts.
• Document outcomes of account follow-up and collections activities.
• Identify and resolve payment delays.
• Collaborate with internal departments to resolve issues.
• Analyze client operational processes to identify areas for improvement and develop strategies to enhance productivity and efficiency.
• Implement technology solutions and process automation to optimize operational performance and drive business success.
• Support clients in streamlining processes and improving productivity through operational excellence frameworks.
• Conduct in-depth operational analysis to provide specialized advice and guidance on process optimization.
• Develop innovative solutions to address client needs and improve operational effectiveness.
• Collaborate with clients to understand their business requirements and deliver tailored consulting services.
• Apply lean process improvement methodologies to reduce waste and optimize workflow efficiency.
• Utilize Six Sigma techniques to enhance operational processes and achieve desired outcomes.
• Manage service operations to validate quality delivery and customer satisfaction.
• Engage in project management activities to lead teams in achieving project goals and meeting success criteria within specified timelines.

What you'll need

• Any Undergraduate Degree (10+2 or Equivalent) OR Graduate Degree in any discipline from a recognized university/institution.
• Min 6 months to 3 years of experience.
• Proven experience in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections.
• Oral and written proficiency in English.
• Flexible to work in night shifts (US Time zone).

Nice to have

• Knowledge of medical coding (ICD-10, CPT).
• Familiarity with UB-04 and/or CMS-1500 claim forms.
• Experience with Epic HB or PB systems.
• Excelling in documentation and reporting.
• Adhering to HIPAA regulations and guidelines.
• Collaborating with internal departments to resolve issues.
• Identifying and resolving payment delays.

Details

• Location: Bangalore, India.
• Shift timings: Flexible to work in night shifts (US Time zone).