RCM AR Calling-Denial-Specialist

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, youll engage in challenging projects and provide distinctive services to support client engagements through enhanced quality and innovation. Youll also participate in dynamic and digitally enabled training that is designed to grow your technical and skilled 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)

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

📌 AR Caller - US Healthcare (Hyderabad)
🏢 PwC
📍 Hyderabad