AR Calling - RCMS - Specialist

Job description

Industry/Sector Not Applicable Specialism Managed Services Management Level Specialist Job Description & Summary The Opportunity Join our Acceleration Center India and help shape the future of business for our diverse client portfolio across geographies and jurisdictions. You’ll work at the heart of global teams across Advisory, Assurance, Tax and Business Services—solving real client challenges through connected collaboration. We’ll help you grow your skills so you can go further. With hands-on learning, cutting-edge tools and an inclusive culture, this is your opportunity to do inspiring work that makes a difference—every day. As a AR Calling - RCMS - Specialist you will support revenue cycle activities through detailed calling, account follow-up, and issue resolution within our Managed Services practice. As a Specialist you will provide technical know-how, handle detailed tasks, and conduct in-depth analysis while supporting specific projects and contributing to a team environment. In this role at PwC, you will manage account activity, track payment status, document outcomes, and apply your knowledge of revenue cycle processes to help improve day-to-day operations for healthcare clients. Responsibilities - Proven experience in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections - Analyzing client operational processes to identify areas for improvement and develop strategies to enhance productivity and efficiency - Implementing technology solutions and process automation to optimize operational performance and drive business success - Supporting clients in streamlining processes and improving productivity through operational excellence frameworks - Conducting in-depth operational analysis to provide specialized advice and guidance on process optimization - Developing innovative solutions to address client needs and improve operational effectiveness - Collaborating with clients to understand their business requirements and deliver tailored consulting services - Applying lean process improvement methodologies to reduce waste and optimize workflow efficiency - Utilizing Six Sigma techniques to enhance operational processes and achieve desired outcomes - Managing service operations to validate quality delivery and customer satisfaction - Engaging in project management activities to lead teams in achieving project goals and meeting success criteria within specified timelines What You Must Have - Minimum Qualification: 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 - Oral and written proficiency in English required - Shift timings: Flexible to work in night shifts (US Time zone) What Sets You Apart - 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 Travel Requirements Not Specified Job Posting End Date