Job Summary -

A career in our Managed Services team will give you an prospect 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:

Bachelor’s Degree

Required Field(s) of Study (BQ):

Computer Science, Data Analytics, Accounting

Preferred Field(s) of Study:

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

6 month of experience

Certification(s) Preferred:

Required Knowledge/Skills (BQ):

Preferred Knowledge/Skills *:

Job Description Summary

Insurance Follow-Up:

Contact insurance companies via phone, email, or online portals to follow up on outstanding claims. Identify and resolve issues causing payment delays, such as claim denials or underpayments. Verify claim status, appeal denied claims, and resubmit claims when necessary.

Documentation and Reporting: Maintain accurate and detailed documentation of all communications and actions taken.



Update account information and billing systems with payment details and follow-up notes. Generate reports on accounts receivable status, aging trends, and collection efforts.

Compliance and Regulations: Adhere to HIPAA regulations and guidelines to ensure patient confidentiality and data security. Stay informed about insurance policies, billing guidelines, and industry changes affecting reimbursement.

Team Collaboration: Collaborate with internal departments, including billing, coding, and collections teams, to resolve payment issues. Participate in meetings and discussions to improve revenue cycle processes and workflow.

PMS Experience: Epic HB or PB experience is Mandatory

Requirements:

Proven experience (1-2 years) in healthcare revenue cycle management, specifically in accounts receivable follow-up and collections.

Strong 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.

Knowledge of medical coding (ICD-10, CPT) is a plus.

Experience Level: 1 to 2 years.

Shift timings: Flexible to work in night shifts (US Time zone)

Preferred Qualification: Bachelor’s degree in finance or Any GraduateRole & responsibilities

Preferred candidate profile

Perks and benefits

📌 RCMS-AR calling (Hyderabad)
🏢 PwC
📍 Hyderabad