AR Calling -RCMS -Specialist

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 an AR Calling - RCMS - Specialist, you will engage with clients to optimize operational efficiency and effectiveness, providing consulting services that streamline processes and enhance productivity. Within our Advisory practice, you will leverage your specialized skills to analyze client needs, develop operational strategies, and offer guidance to drive business performance. As a Specialist, you will provide technical know-how, conduct in-depth analyses, and support specific projects with your specialized knowledge. You will adapt to a fast-paced environment, take ownership of your work, and consistently deliver quality results that contribute to the team's success.

In this role at PwC Acceleration Center India, you will focus on developing innovative solutions to enhance operational performance. You will work closely with clients to identify areas for improvement and develop strategies to enhance productivity, quality, and efficiency. Your role will involve providing guidance on implementing technology solutions, process automation, and operational excellence frameworks. This position offers the opportunity to apply your skills in a dynamic environment, contributing to the success of both clients and the team.

Responsibilities

• Offer specialized knowledge in healthcare provider revenue cycle management
• Analyzing client operational processes to identify areas for improvement and enhance productivity
• Developing and implementing strategies for operational excellence and process optimization
• Providing specialized advice on technology solutions and process automation to streamline operations
• Supporting clients in the development of operational strategies to drive business performance
• Conducting in-depth operational analysis to discern patterns and inform decision-making
• Collaborating with clients to implement innovative solutions that improve efficiency and quality
• Applying lean process improvement techniques to reduce waste and optimize workflows
• Managing and optimizing service operations to enhance customer satisfaction and service delivery
• Utilizing project management skills to lead initiatives and meet client objectives
• Gathering and interpreting data to support operational support and analysis activities
  
  

• -Minimum Qualification: Any Undergraduate Degree (10+2 or Equivalent) OR Graduate Degree in
  
  

• Minimum 6+ Months to 3 years of experience in healthcare provider revenue cycle management
• Understanding of medical billing processes, insurance claims, and reimbursement
  
  

• Excellent communication skills with the ability to effectively interact with insurance companies,
  
  

• Proficiency in using billing software, electronic health records (EHR), and Microsoft Office
  
  

• Attention to detail and ability to prioritize tasks to meet deadlines
• Oral and written proficiency in English required
• Shift timings: Flexible to work in night shifts (US Time zone)
  
  

• 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