Job Description

Line of Service Advisory

Industry/Sector Not Applicable

Specialism Managed Services

Management Level Senior Associate

& Summary A career in our Advisory Acceleration Centre is the natural extension of PwCs leading class global delivery capabilities. We provide premium, cost effective, high quality services that support process quality and delivery capability in support for client engagements.

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:

Use feedback and reflection to develop self awareness, personal strengths and address development areas.

Delegate to others to provide stretch opportunities, coaching them to deliver results.

Demonstrate critical thinking and the ability to bring order to unstructured problems.

Use a broad range of tools and techniques to extract insights from current industry or sector trends.

Review your work and that of others for quality, accuracy and relevance.

Know how and when to use tools available for a given situation and can explain the reasons for this choice.

Seek and embrace opportunities which give exposure to different situations, environments and perspectives.

Use straightforward communication, in a structured way, when influencing and connecting with others.

Responsibilities:

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

Mentors/coaches all staff members to be proficient in client patient accounting system, including, but not limited to: counseling low performers; providing training opportunities to improve quality of work and/or to address an individuals ongoing developmental goals; and answering questions and concerns from staff;

Consults with Continuous Improvement Specialist to identify and assess training needs associated with changes in policies, procedure regulations, business initiatives and technologies;

Provides new-hire training on general billing and follow-up processes; system training; healthcare payer processes; engagement-specific policies; and organization-specific processes;

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

Monitors team performance and success against pre-defined key performance indicators (i.e. productivity, quality, etc.);

Executes the development and preparation of job aids, instructional materials, classroom, and online training appropriate to specific objectives; and,

Makes recommendations to improve client service based upon training observations.

Required Knowledge and Skills:

Demonstrated ability exceeding all established department/client quality and productivity standards;

Proven ability to lead by example and foster mentoring relationships;

Strong written and oral communication skills;

Computer and internet literate in an MS Office environment;

Ability to establish and maintain effective working relationships;

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.;

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; coaches and develops staff through timely and meaningful written and verbal feedback; and,

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

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

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 0%

Available for Work Visa Sponsorship? No

Government Clearance Required? No

Job Posting End Date January 31, 2023

PwC