Specialist

About the Role

Join PwC's Acceleration Center India to support revenue cycle managed services. You will handle client collections, review account details, and contribute to process follow-up within the Operations Consulting practice. As a Specialist, you will provide technical expertise, perform detailed tasks, conduct in-depth analysis, and support specific projects, taking ownership in a fast-paced environment.

Key Responsibilities

• Support revenue cycle managed services work by handling client collections activities.
• Review account details and contribute to process follow-up across assigned cases.
• Analyze billing activity and track account status.
• Communicate findings clearly.
• Support process improvement efforts to help clients streamline operations and improve performance.
• 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.

Requirements & Tech Stack

• Minimum Qualification: Any Undergraduate Degree (10+2 or Equivalent) OR Graduate Degree in any discipline from a recognized university/institution.
• Oral and written proficiency in English required.
• Flexible to work in night shifts (US Time zone).

Qualifications

• Proven experience in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections.
• 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.