Search

Jobs

  • Reviews
  • Salaries
  • Interview Questions
  • About Company
  • Benefits
  • Jobs
  • Office Photos
  • Community
+ Contribute
notification
notification
Login
Upload Button Icon Add office photos
Employer? Claim Account for FREE

PwC

Compare button icon Compare button icon Compare
3.4

based on 9.2k Reviews

Play video Play video Video summary
filter salaries All Filters

3 PwC Specialist Jobs

Managed Services - BOS - Appeals & Grievances - Specialist - Operate

Pricewaterhouse Coopers Private Limited

 · 

3.4

 based on 9.2k Reviews

1-5 years

₹ 3.3 - 5L/yr (AmbitionBox estimate)

tooltip
This is an estimate of the average salary range for this position. It has not been reviewed by the company, and the actual salary may differ.

Hyderabad / Secunderabad

1 vacancy

Managed Services - BOS - Appeals & Grievances - Specialist - Operate

PwC

posted 8d ago

Job Role Insights

Flexible timing

Key skills for the job

Medical Coding Data Analysis Consulting Medical Billing Auditing Microsoft Power BI

+ 3 more

Job Description

Insurance FollowUp 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 followup 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 Medicare policies.
Team Collaboration Collaborate with internal departments, to work on the Medicare appeals and grievance requests.
  • Medicare & Medicaid Appeals & Grievances
  • Member appeals, Grievances, Dismissal, PreService Appeals, Post Services Appeals. member complaints, provider payment appeals, provider payment disputes
  • Knowledge on the CMS and Hospital & Physicians Billing
  • HIPAA
Required Knowledge and Skills
  • Proven experience (1+ years) in US healthcare Payer side.
  • Strong understanding of Medicare /medical billing processes, insurance claims, and reimbursement methodologies
  • Excellent communication skills with the ability to effectively interact with insurance companies, patients, and internal stakeholders.
  • Attention to detail and ability to prioritize tasks to meet deadlines.
  • Knowledge of medical coding (ICD10, CPT) is a plus.
  • Experience Level 0 to 1 years.
  • Shift timings Flexible to work in night shifts (US Time zone)
  • Preferred Qualification Bachelor s degree / Any Graduate

Employment Type: Full Time, Permanent

Read full job description

PwC Interview Questions & Tips

Prepare for PwC Specialist roles with real interview advice

What Specialist at PwC are saying

3.7
 Rating based on 77 Specialist reviews

Likes

Thankful Thursday

Dislikes

No work life balance too much work pressure no job security

  • Skill development - Poor
    • +5 more
Read 77 Specialist reviews

Specialist salary at PwC

reported by 784 employees
₹1.1 L/yr - ₹8 L/yr
48% less than the average Specialist Salary in India
View more details

What PwC employees are saying about work life

based on 9.2k employees
75%
88%
58%
88%
Flexible timing
Monday to Friday
No travel
Day Shift
View more insights

PwC Benefits

Submitted by Company
Staff discounts
Professional Memberships
In-house learning tools
Referral Bonuses
Corporate Plan
Buy more leave! +7 more
Submitted by Employees
Work From Home
Health Insurance
Cafeteria
Job Training
Soft Skill Training
Free Transport +6 more
View more benefits

Compare PwC with

Deloitte

3.8
Compare

Ernst & Young

3.4
Compare

Accenture

3.8
Compare

TCS

3.7
Compare

Cognizant

3.7
Compare

Infosys

3.6
Compare

IBM

4.0
Compare

Capgemini

3.7
Compare

KPMG India

3.5
Compare

Google

4.4
Compare

BCG

3.7
Compare

Wipro

3.7
Compare

Amazon

4.1
Compare

Grant Thornton

3.7
Compare

BDO

3.3
Compare

RSM India

3.4
Compare

Crowe Horwath

4.1
Compare

Mazars

3.1
Compare

Baker Tilly Virchow Krause

3.5
Compare

Protiviti

3.2
Compare

Similar Jobs for you

Quality Controller at Pricewaterhouse Coopers Private Limited

Bangalore / Bengaluru

2-4 Yrs

₹ 4-6 LPA

Quality Control Associate at Pricewaterhouse Coopers Private Limited

Hyderabad / Secunderabad

2-4 Yrs

₹ 4-6 LPA

Functional Tester at Pricewaterhouse Coopers Private Limited

Hyderabad / Secunderabad, Bangalore / Bengaluru

1-3 Yrs

₹ 3-7 LPA

Functional Tester at Pricewaterhouse Coopers Private Limited

Hyderabad / Secunderabad, Bangalore / Bengaluru

1-3 Yrs

₹ 3-7 LPA

Writer at Thepharmadaily LLP

Remote

2-5 Yrs

₹ 3-6 LPA

Health Care Executive at Guhilot Enterprise

Ahmedabad

2-7 Yrs

₹ 2.5-3.5 LPA

Specialist at OJCommerce

Chennai

2-4 Yrs

₹ 3-6 LPA

Medical Billing Specialist at I Global Services

Ahmedabad

3-5 Yrs

₹ 4-5 LPA

Quality Analyst at MEDFAR

Visakhapatnam

2-4 Yrs

₹ 1-4 LPA

Senior Resident at Alchemist Hospitals Ltd.

Panchkula

0-3 Yrs

₹ 4-8 LPA

PwC Hyderabad / Secunderabad Office Location

View all
Hyderabad / Secunderabad  (1)
Hyderabad Office
Plot no. 77/A, 8-624/A/1,3rd Floor,Road No. 10,Banjara Hills,Hyderabad Hyderabad
500 034

Managed Services - BOS - Appeals & Grievances - Specialist - Operate

1-5 Yrs

Hyderabad / Secunderabad

8d ago·via naukri.com

Specialist3 IRDA Debt -

1-2 Yrs

Gurgaon / Gurugram

3d ago·via naukri.com

Convo AI-Generative AI Specialist - Manager

2-6 Yrs

Hyderabad / Secunderabad, Bangalore / Bengaluru

17d ago·via naukri.com
More about working at PwC

Similar Designation Jobs in Pwc

Specialist Jobs in Other Companies

write
Share an Interview