RCMS -Corp Managed Svcs Patient Accounting - Specialist - Operate
On-site · Hyderabad, Telangana, India
Job Summary
Specialist in PwC's Revenue Cycle Managed Services focused on healthcare provider accounts receivable follow-up and collections. Responsibilities include contacting insurance companies to follow up on outstanding claims, identifying and resolving issues causing delays (denials or underpayments), verifying claim status, appealing denied claims, and resubmitting as needed. Maintain accurate documentation of communications, update billing systems with payment details, and generate AR status reports. Ensure HIPAA compliance and stay informed on insurance policies and guidelines that affect reimbursement. Collaborate with billing, coding, and collections teams to resolve issues and improve revenue-cycle processes. Requires 1-2 years of relevant experience and familiarity with medical billing processes, EHRs, and billing software; knowledge of ICD-10/CPT is a plus. Shift flexibility to accommodate US time zones is noted.
Required Qualifications
- Bachelor’s Degree required
- 1-2 years of experience in healthcare revenue cycle management
- experience in accounts receivable follow-up and collections
- proficiency with billing software, electronic health records (EHR), and Microsoft Office
- knowledge of ICD-10 and CPT preferred
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