Industry/Sector

Specialism

Management Level

Job 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 Firm's code of conduct and independence requirements.

RCM

• -AR Calling-Denial-SpecialistThe OpportunityWhen you join PwC Acceleration Centers (ACs), you step into a pivotal role focused on actively supporting various Acceleration Center services, from Advisory to Assurance, Tax and Business Services. In our innovative hubs, you’ll engage in challenging projects and provide distinctive services to support client engagements through enhanced quality and innovation. You’ll also participate in dynamic and digitally enabled training that is designed to grow your technical and professional skills.
• As part of the Operations Consulting team you are set to provide specialized knowledge in healthcare provider revenue cycle management. As a Specialist you are expected to handle intricate tasks and conduct in-depth analyzes to support specific projects, promoting quality results that drive benefits for our clients. This role presents a unique opportunity to work in a dynamic environment, collaborating with multiple teams to enhance processes and improve patient care outcomes.

Responsibilities

• Supply specialized knowledge in healthcare provider revenue cycle management
• Execute tasks and perform analyzes for project support
• Collaborate with multiple teams to enhance operational workflows
• Focus on delivering quality results that create client satisfaction
• Engage in initiatives aimed at improving patient care outcomes
• Analyze data to discern patterns and inform strategies
• Provide technical input for specific project needs
• Adapt to a dynamic work environment while promoting quality delivery

What You Must Have

• Minimum Qualification: Any Undergraduate Degree (10+2 or Equivalent) OR Graduate Degree in any discipline from a recognized university/institution- 6+ Months of experience in healthcare provider revenue cycle management
• 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
• Oral and written proficiency in English required
• Shift timings: Flexible to work in night shifts (US Time zone)

What Sets You Apart

• Bachelor's Degree in Accounting, Commerce, Medical Technology preferred
• Knowledge of medical coding (ICD-10, CPT)
• Familiarity with UB-04 and/or CMS-1500 claim forms
• Experience with Epic HB or PB systems
• Excelling in documentation and reporting
• Adhering to HIPAA regulations and guidelines
• Collaborating with internal departments to resolve issues
• Identifying and resolving payment delays

Travel Requirements

Job Posting End Date