Industry/Sector
Not Applicable
Specialism
Managed Services
Management Level
Specialist
Job Description & Summary
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.
In operations and solutions at PwC, you will focus on providing consulting services to optimise overall operational performance and develop innovative solutions. You will work closely with clients to analyse operational processes, identify areas for improvement, and develop strategies to enhance productivity, quality, and efficiency. Working in this area, you will provide guidance on implementing technology solutions, process automation, and operational excellence frameworks.
You are a reliable, contributing member of a team. In our fast-paced environment, you are expected to adapt, take ownership and consistently deliver quality work that drives value for our clients and success as a team.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
A career in our Managed Services team will give you an opportunity 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) :
Bachelor’s 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) :
Certification(s) Preferred:
Required Knowledge/Skills (BQ):
*Preferred Knowledge/Skills :
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:
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:
Requirements:
Experience Level:
1 to 2 years.
Shift timings:
Flexible to work in night shifts (US Time zone)
Preferred Qualification:
Travel Requirements
Not Specified
Job Posting End Date