Looking For AR Caller @ PwC Location Hyd

PwC; Hyderabad; On-site; INR 400,000 - 700,000; Full time

Job summary

PwC in Hyderabad is seeking a Healthcare Revenue Cycle Specialist focused on insurance follow-up and collections. You will manage AR follow-up, denials, and patient communication, while maintaining rigorous documentation and reporting in a healthcare billing environment.

The role requires 1–3 years of experience in medical billing, familiarity with Epic HB or PB, and a Bachelor’s degree in finance or a related field. Night shifts aligned to US time zones are expected.

Qualifications

• 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.

Responsibilities

• Follow up on insurance receivables and resolve denial or underpayment issues.
• Maintain documentation and generate AR reports and aging trend analyses.
• Ensure HIPAA compliance and data security; stay updated on policies and guidelines affecting reimbursement.
• Collaborate with billing, coding and collections teams to resolve payment issues and improve revenue cycle processes.

Skills

Communication skills

Medical billing

EHR systems

Microsoft Office

Attention to detail

Education

Bachelor's degree in Finance

Any Graduate

Tools

Epic HB

PB

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