Job Detail in India

Job Description

Line of Service

Advisory

 

Industry/Sector

Not Applicable

 

Specialism

Managed Services

 

Management Level

Associate

 

Job Description & Summary

A career in our Managed Services team will provide you an opportunity to collaborate with a wide array of teams to help our clients implement and operate new capabilities, achieve operational efficiencies, and harness the power of technology.

Our Virtual Business Office team will provide you with the opportunity to act as an extension of our healthcare clients' business office. We specialize in revenue cycle functions and remediating aged 3rd party accounts receivable 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 allow them to provide better patient care.

 

To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

 

As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

 

The primary purpose of this position is to perform account research and analysis to validate accuracy, completeness and appropriateness of actions taken to resolve accounts in adherence to client, organization, regulatory policies and procedures. The Account Analyst takes direction from the Team Lead and provides support for special projects, quality control, and account resolution.

 

Years of Experience:

Candidates with 2-4 years of relevant work experience

 

Responsibilities:

The Account Analyst specific responsibilities include but are not limited to:

• Actively participates in special projects or deliverables assigned by management to analyze project inventory to identify trends and provide suggested performance improvement measures and resolution steps;

• Completes consistent Quality Assurance to ensure accuracy and proficiency in account resolution and remediation

• Identifies systemic issues impeding account resolution and recommends solutions for change;

• Suggests performance improvement measures and evaluates their effectiveness against predetermined objectives;

• Exemplifies extensive knowledge of the hospital revenue cycle with specialization in hospital billing, follow-up, and the account resolution process to include, but not limited to: claims submission, acceptance, and adjudication, transaction reviews, adjustment posting, identification of patient responsibility, etc.;

• Possesses considerable leadership skills, fostering an atmosphere of trust; seeks diverse views to encourage improvement and innovation;

• Possesses ability to professionally communicate (in all forms) with payer and client resources such as: on-site visits, website, e-mail, telephone, customer service departments, etc.; and,

• Possesses a cooperative and positive attitude toward clients, management and co-workers by responding politely and professionally and being a valued team player.

 

Required Knowledge and Skills:

• Drive profitability and margin through teamwork and collaboration; contributes to team success by establishing positive working environment;

• Focus on value creation and enhancement through process improvement and issues based problem solving;

• Inventory management: conducts accurate research in an organized manner, questions basic inconsistencies in information reviewed, and raises to appropriate level;

• Demonstrates an awareness of workloads; offers to help team members and/or team management; takes on additional tasks when appropriate;

• Proactively seeks instruction, feedback, and coaching to improve performance; shows evidence of incorporating feedback into actions; and,

• Assists new hires or less-experienced staff by answering questions and providing direction on how to complete assignments.

• US Healthcare Commercial and Managed Care Insurance Claim Management/Billing/Claim Edit Resolution

• US Healthcare Medicare and Medicaid Insurance Claim Management/Billing/Claim Edit Resolution

• US Healthcare Denials Management (technical and clinical)

• US Healthcare Underpayment/Payment Variance Management

 

Desired Knowledge / Skills:

• Issue resolution & remediation

• Project inventory Analysis

• Inventory Resolutions

• Epic Resolute, HB and PB Patient Accounting

• Cerner RevElate Patient Accounting

• Meditech Patient Accounting

 

Education (if blank, degree and/or field of study not specified)

Degrees/Field of Study required:

 

Degrees/Field of Study preferred:

 

Certifications (if blank, certifications not specified)

 

Required Skills

 

Optional Skills

 

Desired Languages (If blank, desired languages not specified)

 

Travel Requirements

Not Specified

 

Available for Work Visa Sponsorship?

No

 

Government Clearance Required?

No

 

Job Posting End Date

Skills Required