Corp Managed Svcs RCMS - Specialist - AR Follow Up (Hospital Billing)/EPIC - Operate
Corp Managed Svcs RCMS - Specialist - AR Follow Up (Hospital Billing)/EPIC - Operate
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Job Description
Line of Service
AdvisoryIndustry/Sector
Not ApplicableSpecialism
Managed ServicesManagement Level
SpecialistJob Description & Summary
At PwC our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs develop operational strategies and offer guidance and support to help clients streamline processes improve productivity and drive business performance.In operations and solutions at PwC you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes identify areas for improvement and develop strategies to enhance productivity quality and efficiency. Working in this area you will provide guidance on implementing technology solutions process automation and operational excellence frameworks.
You are a reliable contributing member of a team. In our fast-paced environment you are expected to adapt take ownership and consistently deliver quality work that drives value for our clients and success as a team.
Examples of the skills knowledge and experiences you need to lead and deliver value at this level include but are not limited to:
- Apply a learning mindset and take ownership for your own development.
- Appreciate diverse perspectives needs and feelings of others.
- Adopt habits to sustain high performance and develop your potential.
- Actively listen ask questions to check understanding and clearly express ideas.
- Seek reflect act on and give feedback.
- Gather information from a range of sources to analyse facts and discern patterns.
- Commit to understanding how the business works and building commercial awareness.
- Learn and apply professional and technical standards (e.g. refer to specific PwC tax and audit guidance) uphold the Firms code of conduct and independence requirements.
JD Template -Corp Managed Svcs Patient Accounting - Specialist - Operate
Field CAN be edited
Field CANNOT be edited
Job Summary -
A career in our Managed Services team will give you an opportunity to collaborate with many 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 will provide you with the opportunity to act as an extension of our healthcare clients revenue cycle functions. We specialize in front middle and back-office revenue cycle functions for hospitals medical groups and other providers. We leverage our custom and automated workflow and quality assurance products to enable our clients
to achieve better results which ultimately allows them to provide better patient care.
Minimum Degree Required (BQ) *:
Bachelors Degree
Degree Preferred:
Bachelors Degree
Required Field(s) of Study (BQ):
Computer Science Data Analytics Accounting
Preferred Field(s) of Study:
Minimum Year(s) of Experience (BQ) *: US
1 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:
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 2 years.
Shift timings: Flexible to work in night shifts (US Time zone)
Preferred Qualification: Bachelors degree in finance or Any Graduate
Education (if blank degree and/or field of study not specified)
Degrees/Field of Study required:Degrees/Field of Study preferred:Certifications (if blank certifications not specified)
Required Skills
Optional Skills
Accepting Feedback Accepting Feedback Active Listening Automation Solutions Business Process Improvement Communication Competitive Advantage Cost Efficiency Demand Management Emerging Technologies Emotional Regulation Empathy Inclusion Intellectual Curiosity Lean Process Improvement Operating Model Operational Analysis Operational Excellence Operational Support and Analysis Operations Management Operations Process Improvement Operations Strategy Operations Support Optimism Process Data Collection 9 moreDesired Languages (If blank desired languages not specified)
Travel Requirements
Not SpecifiedAvailable for Work Visa Sponsorship
NoGovernment Clearance Required
NoJob Posting End Date
Required Experience:
Unclear Seniority
Employment Type
Full-Time
