Managed Services-BOS Exp Associate - AR Follow Up (Hospital Billing)/EPIC - Operate

PwC; Andhra Pradesh; Presencial; INR 600.000 - 800.000; Tempo integral

Resumo da vaga

A professional services firm in India is looking for a Managed Services-BOS Exp Associate specializing in hospital billing and collections. The role requires 2-4 years of experience in healthcare revenue cycle management, with skills in analysis, communication, and leadership. Candidates should have proficiency in healthcare billing software, including EPIC, and be flexible to work night shifts. This full-time position offers an opportunity to contribute significantly to the efficiency of healthcare services.

Qualificações

• 2-4 years of experience in healthcare revenue cycle management.
• Experience with healthcare billing software.
• Knowledge of US Healthcare Insurance Claim Management.

Responsabilidades

• Perform quality control audits; review and monitor accounts.
• Identify problems and suggest recommendations.
• Communicate feedback and recommendations.

Conhecimentos

Analytical skills

Communication skills

Leadership skills

Proficiency in MS Office

Formação

Bachelor’s Degree

Ferramentas

EPIC

Cerner

Meditech

Descrição da vaga

Managed Services-BOS Exp Associate - AR Follow Up (Hospital Billing)/EPIC - Operate

Join to apply for the Managed Services-BOS Exp Associate - AR Follow Up (Hospital Billing)/EPIC - Operate role at PwC Acceleration Center India.

A career in our Managed Services team will provide you an opportunity to collaborate with a wide array of teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology. Our Revenue Cycle Managed Services team specializes in front, middle and back‑office revenue cycle functions for hospitals, medical groups, and other providers. We leverage custom and automated workflow and quality assurance products to enable our clients to achieve better results, ultimately allowing them to provide better patient care.

Education

• Minimum Degree Required: Bachelor’s Degree

Preferred Education

• Preferred field of study: Bachelor’s Degree

Experience

• 2‑4 years of progressive experience in healthcare revenue cycle management, with a focus on accounts receivable and claims resolution.
• Experience with healthcare billing software (EPIC, Cerner, Meditech) and proficiency in Microsoft Office.
• Background in medical collections, billing, and claims.
• Knowledge of US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution, Medicare & Medicaid, Denials Management, Underpayment/Payment Variance.
• Shift timing: flexible to work night shifts (US Time zone).

Responsibilities

• Perform quality control audits; review and monitor accounts.
• Identify problems, analyze cause and effect, and suggest recommendations for improvement.
• Provide daily constructive feedback based on account notation.
• Communicate recommendations on changes and improvements to Continuous Improvement Specialists.
• Prepare reports and suggest implementation of new systems, procedures or organizational changes.
• Maintain confidentiality; support compliance including HIPAA Privacy and Security Regulations.
• Consult and collaborate with Continuous Improvement Specialist to identify and assess training needs based on work audited.
• Participate in quality control meetings.
• Foster an atmosphere of trust; coach and develop staff through timely and meaningful written feedback.
• Demonstrate extensive knowledge of the hospital revenue cycle: claims submission, acceptance, adjudication, transaction reviews, adjustment posting, patient responsibility identification.

Required Knowledge & Skills

• Good analytical and math skills.
• Ability to document problems and assist in their resolution.
• Demonstrated ability exceeding department/client quality and productivity standards.
• Strong written and oral communication skills.
• Computer and internet literacy in MS Office environment.
• Ability to establish and maintain effective working relationships.
• Experience with US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution.
• US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution.
• US Healthcare Denials Management (technical and clinical).
• US Healthcare Underpayment/Payment Variance Management.
• Proven leadership skills, coaching, and mentoring relationships.
• Experience level: 2‑4 years.

Preferred Qualifications

• Bachelor’s degree in finance or any graduate degree.
• Epic HB & PB experience is mandatory.
• Shift timing: flexible to work night shifts (US Time zone).
• Compliance with HIPAA regulations, billing guidelines, and healthcare industry standards.

Job Details

• Seniority level: Mid‑Senior level
• Employment type: Full‑time
• Job function: Management and Manufacturing
• Industry: Professional Services
• Location: Vishakhapatnam, Andhra Pradesh, India