Immediate Opening AR Calling

PwC; Hyderabad, Bengaluru; On-site; INR 350,000 - 520,000; Full time

Job summary

PwC Hyderabad is seeking a Healthcare Revenue Cycle Associate to handle insurance follow-up, verify claim status and resolve delays in payment.

The role requires 1–3 years of experience in AR follow-up, a solid understanding of medical billing and HIPAA compliance, and strong communication with insurers, patients, and internal teams. Night shifts in US time zones may be required; a Bachelor's degree in finance or a related field is preferred.

Qualifications

• Knowledge of medical billing processes and reimbursement methodologies.
• HIPAA guidelines compliance and patient confidentiality.
• Excellent communication with insurers, patients, and internal teams.
• Proficiency with billing software, EHRs, and MS Office.
• 1–3 years of experience in healthcare revenue cycle management.

Responsibilities

• Follow up with insurance companies to resolve payment delays and denials.
• Maintain accurate documentation and update billing systems with payment details and notes.
• Generate AR reports and monitor aging trends and collections efforts.
• Collaborate with billing, coding, and collections teams to resolve issues.
• Adhere to HIPAA regulations and industry guidelines.

Skills

Communication

Accounts receivable

HIPAA knowledge

Attention to detail

Task prioritization

MS Office

EHR systems

Billing software

Interpersonal skills

Education

Bachelor's in Finance or Any Graduate

Tools

Billing software

EHR

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 (1-2 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