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-Specialist

The Opportunity
When 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 provides an exciting opportunity to work
collaboratively with diverse teams, enhancing operational effectiveness and contributing to
better patient care.
Responsibilities
- Offer specialized knowledge in healthcare provider revenue cycle management
- Conduct tasks and in-depth analyzes to support project goals
- Work collaboratively with diverse teams to improve operational efficiencies
- Drive results that enhance client satisfaction
- Engage in initiatives that contribute to better patient care outcomes
- Gather and analyze data to inform decision-making processes
- Provide technical support for specific project requirements
- Adapt to changing environments while maintaining performance standards
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)
Job Description Data
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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