RCMS AR Caller(Work Location Hyderabad@PwC)

PwC; Hyderabad; On-site; INR 350,000 - 550,000; Full time

Job summary

PwC in Hyderabad, India, is seeking a healthcare Revenue Cycle Management specialist with 1–3 years of experience in accounts receivable follow-up and collections. You will interact with insurance companies, patients, and internal teams to resolve payment issues and ensure accurate records in the billing system.

The role requires strong knowledge of medical billing, HIPAA-related guidelines, and proficiency in EHR and billing software. Night shifts aligned to US time zones are expected.

Qualifications

• 1-3 years experience 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

Responsibilities

• Follow up with insurance companies to resolve payment delays and denials.
• Maintain accurate documentation of all communications and actions.
• Generate reports on accounts receivable status and aging trends.
• Collaborate with billing, coding, and collections teams to resolve payment issues.

Skills

Accounts receivable follow-up

Healthcare revenue cycle

Communication skills

Attention to detail

Billing software

Microsoft Office

Night shift adaptability

Education

Bachelor's degree (finance or graduate)

Tools

Epic HB

Epic PB

Job description

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

1 to 3 year 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 3 years.

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

Preferred Qualification: Bachelors degree in finance or Any Graduate