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

2-4 years of experience

Required Knowledge/Skills (BQ):

- Preferred Qualification: Bachelors degree in finance or Any Graduate
- 2-4 years of progressive experience in healthcare revenue cycle management, with a focus on accounts receivable and claims resolution.
- Strong knowledge of medical billing processes, insurance reimbursement methodologies, and revenue cycle operations.
- Experience with healthcare billing software (e.g., Epic, Cerner, Meditech) and proficiency in Microsoft Office applications.
- Excellent leadership, communication, and interpersonal skills with the ability to mentor and motivate team members.
- Analytical mindset with the ability to interpret financial data, identify trends, and make data-driven decisions.
- Proven track record of achieving AR performance targets and improving revenue cycle efficiency.
- Experience Level: 2 to 4 years
- Shift timings: Flexible to work in night shifts (US Time zone)

Accounts Receivable Management:

- Oversee the accounts receivable process, including insurance and patient follow-up, to minimize outstanding balances.
- Monitor and analyze aging reports to prioritize and address delinquent accounts promptly.




- Implement strategies to improve collections and reduce accounts receivable days.

Insurance and Payer Relations:

- Lead efforts in resolving complex insurance claim issues, including claim denials and underpayments.
- Establish and maintain relationships with insurance company representatives to facilitate prompt payment and claims processing.
- Stay updated on insurance policies, reimbursement regulations, and industry trends affecting revenue cycle operations.

Patient Communication and Customer Service:

- Assist with escalated patient inquiries and complaints related to billing and insurance matters.
- Educate patients on insurance advantages, coverage details, and financial responsibilities.
- Collaborate with patient advocacy groups and financial counselors to ensure compassionate and effective patient interactions.

Process Improvement and Training:

- Identify opportunities for process improvements within the revenue cycle management workflow.
- Develop training materials and conduct sessions to enhance the skills and knowledge of AR team members.
- Implement best practices to streamline AR operations and maximize efficiency.

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Preferred candidate profile

📌 AR Caller Associate (Telangana)
🏢 PwC
📍 Telangana