Specialist

About the Role

Join PwC's Acceleration Center India to support revenue cycle activities through detailed calling, account follow-up, and issue resolution within the 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.
• 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.
• Manage account activity, track payment status, and document outcomes.

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.
• 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.