Specialist
PwC Acceleration Center India
About the Role
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. As an 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, 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.
Key Responsibilities
- Support revenue cycle activities through detailed calling, account follow-up, and issue resolution.
- Manage account activity, track payment status, and document outcomes.
- Analyze client operational processes to identify areas for improvement and develop strategies.
- Implement technology solutions and process automation to optimize operational performance.
- Support clients in streamlining processes and improving productivity.
- 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.
Requirements & Tech Stack
- Oral and written proficiency in English required.
- Flexible to work in night shifts (US Time zone).
Qualifications
- Minimum Qualification: Any Undergraduate Degree (10+2 or Equivalent) OR Graduate Degree in any discipline from a recognized university/institution.
- Minimum 0.5 to 3 years of experience.
- 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.
