AR Caller Work Location Hyderabad

PwC; Hyderabad; Sur place; INR 350 000 - 600 000; Plein temps

Résumé du poste

PwC in Hyderabad, India is seeking a healthcare revenue cycle specialist with 1-3 years of experience in accounts receivable follow-up and collections. The role involves following up with insurance companies, resolving denials, and resubmitting claims as needed.

Candidates should be proficient in medical billing, EHR systems, and familiar with ICD-10/CPT coding. Strong communication and attention to detail are essential to succeed in this position.

Qualifications

• 1-3 years of experience in healthcare revenue cycle management.
• Strong understanding of medical billing, insurance claims, and reimbursement methods.
• Excellent communication with insurers, patients and internal teams.

Responsabilités

• Insurance follow-up: contact insurers to resolve payment delays and resubmit as needed.
• Documentation and reporting: maintain detailed records and generate AR reports.
• Compliance and regulations: adhere to HIPAA and stay updated on billing guidelines.
• Team collaboration: work with billing, coding, and collections to improve revenue cycle processes.

Connaissances

Communication skills

Attention to detail

Billing software proficiency

Microsoft Office

HIPAA knowledge

Formation

Bachelor's degree in finance

Outils

Epic HB

PB system

Description du poste

Minimum Year(s) of Experience (BQ) *: US

1-3year of experience

Certification(s) Preferred:

Required Knowledge/Skills (BQ):

Preferred Knowledge/Skills *:

Job Description Summary

Insurance Follow-Up:

Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims, and resubmit claims when necessary.

Documentation and Reporting:

Maintain accurate and detailed documentation of all communications and actions taken. Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts.

Compliance and Regulations:

Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data security. Stay informed about insurance policies, billing guidelines, and industry changes affecting reimbursement.

Team Collaboration:

Collaborate with internal departments, including billing, coding, and collections teams, to resolve payment issues. Participate in meetings and discussions to improve revenue cycle processes and workflow.

PMS Experience: Epic HB or PB experience is Mandatory

Requirements: SP

Proven experience (1-3 years) in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections.

Strong understanding of medical billing processes, insurance claims, and reimbursement methodologies.

Excellent communication skills with the ability to effectively interact with insurance companies, patients, and internal stakeholders.

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

Attention to detail and ability to prioritize tasks to meet deadlines.

Knowledge of medical coding (ICD-10, CPT) is a plus.

Experience Level: 1 to 2 years.

Shift timings: Flexible to work in night shifts (US Time zone)

Preferred Qualification: Bachelors degree in finance or Any Graduate