Corp Managed Svcs RCMS Hospital Billing, AR Calling Sr. Associate Operate

Industry/Sector

Specialism

Management Level

Job Description & Summary

Focused on relationships you are building meaningful client connections and learning how to manage and inspire others. Navigating increasingly complex situations you are growing your personal brand deepening technical expertise and awareness of your strengths. You are expected to anticipate the needs of your teams and clients and to deliver quality. Embracing increased ambiguity you are comfortable when the path forward isnt clear you ask questions and you use these moments as opportunities to grow.

Examples of the skills knowledge and experiences you need to lead and deliver value at this level include but are not limited to:

• Respond effectively to the diverse perspectives needs and feelings of others.
• Use a broad range of tools methodologies and techniques to generate new ideas and solve problems.
• Use critical thinking to break down complex concepts.
• Understand the broader objectives of your project or role and how your work fits into the overall strategy.
• Develop a deeper understanding of the business context and how it is changing.
• Use reflection to develop self awareness enhance strengths and address development areas.
• Interpret data to inform insights and recommendations.
• Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firms code of conduct and independence requirements.

JD Template -Corp Managed Svcs RCMS- Senior Associate - Operate

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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:

Required Field(s) of Study (BQ):

Computer Science Data Analytics Accounting

Preferred Field(s) of Study:

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

3 years of experience

Certification(s) Preferred:

Preferred Knowledge/Skills *:

• Preferred Qualification: Bachelors degree in finance or Any Graduate
• 4-8 years of experience in healthcare revenue cycle management with a focus on accounts receivable and team leadership.
• Strong understanding of medical billing processes insurance claims management and revenue cycle operations.
• Excellent communication skills and ability to interact effectively with internal stakeholders insurance companies and patients.
• Proficiency in healthcare billing software and Microsoft Office applications.
• Proven leadership abilities with a track record of successfully managing and developing teams.
• Detail-oriented with strong analytical and problem-solving skills.
• Knowledge of regulatory requirements and compliance in healthcare revenue cycle management.
• Shift timings: Flexible to work in night shifts (US Time zone)

Team Management and Leadership:

Supervise a team of AR callers providing guidance support and mentorship to achieve departmental goals. Conduct regular team meetings one-on-one sessions and performance evaluations to drive accountability and continuous improvement. Foster a positive and collaborative work environment that encourages teamwork and professional development.

Accounts Receivable Oversight:

Oversee the accounts receivable process including insurance claims follow-up and patient account resolution. Monitor productivity and efficiency metrics (e.g. call volume claim resolution rate) and implement strategies to optimize team performance. Ensure adherence to departmental policies procedures and quality standards.

Insurance and Payer Relations:

Handle escalated insurance claim issues and complex payer inquiries providing expertise and assistance to team members. Develop and maintain relationships with insurance company representatives to expedite claim processing and resolve payment delays. Stay informed about changes in insurance policies billing guidelines and reimbursement regulations.

Process Improvement and Training:

Identify opportunities for process enhancements and workflow optimization within the AR calling function. Develop and deliver training programs to equip team members with the skills and knowledge necessary to excel in their roles. Implement best practices and standard operating procedures to drive operational efficiency and quality outcomes.

Reporting and Analysis:

Generate regular reports on team performance metrics KPIs and key trends in accounts receivable. Analyze data to identify areas of improvement implement corrective actions and track progress towards goals.

PMS Experience:

• Epic HB & PB experience is Mandatory

Travel Requirements

Job Posting End Date