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    Managed Services-BOS-RCMS Associate - Bengaluru, India - PwC

    PwC
    PwC Bengaluru, India

    Found in: Talent IN C2 - 5 days ago

    PwC background
    Full time
    Description

    Description

    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 benefits, 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.

    Reporting and Analysis:

    Generate and present regular reports on accounts receivable performance metrics, trends, and outcomes. Utilize data analytics to identify root causes of revenue cycle issues and implement corrective actions.

    Compliance and Regulatory Adherence:

    Ensure compliance with HIPAA regulations, billing guidelines, and healthcare industry standards. Collaborate with compliance officers to implement and maintain effective internal controls.

    Requirements:

  • Bachelor's degree Finance, or related field preferred.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 yearsShift timings: Flexible to work in night shifts (US Time zone)

    • Education

    Degrees/Field of Study required:Degrees/Field of Study preferred:

    Certifications

    Required Skills

    Optional Skills

    Desired Languages

    Travel Requirements

    Not Specified

    Available for Work Visa Sponsorship?

    No

    Government Clearance Required?

    No

    Job Posting End Date

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