AR Calling

PwC; Karnataka; On-site; INR 600,000 - 900,000; Full time

Job summary

PwC in India is seeking a healthcare revenue cycle specialist to handle insurance follow-up, confirm claim status, appeal denials, and resubmit as needed. You will maintain precise documentation, update billing systems, and generate AR reports.

The role requires 1–3 years of experience in accounts receivable follow-up, strong knowledge of ICD-10/CPT, proficiency with EHR and billing software, and excellent communication with insurers, patients, and internal teams.

Qualifications

• Experience in healthcare revenue cycle management, AR follow-up and collections (1–3 years).
• Strong understanding of medical billing, insurance claims and reimbursement methods.
• Excellent communication with insurers, patients, and internal stakeholders.
• Proficiency with billing software, EHRs, and MS Office.

Responsibilities

• Follow up with insurance companies via phone, email, or portals to resolve payment delays.
• Maintain detailed documentation and update billing systems with payment details and notes.
• Generate reports on accounts receivable status and aging trends.
• Collaborate with billing, coding, and collections teams to resolve issues and improve processes.

Skills

Communication

Attention to detail

Prioritization

Team collaboration

Education

Bachelor's degree in finance or any graduate

Tools

Epic HB

Epic PB

EHR

Billing software

Microsoft Office

Job description

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 3 years.

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

Preferred Qualification: Bachelors degree in finance or Any Graduate