Accounts Receivable Caller

About the Company

Sutherland is a global enterprise focused on business and digital transformation, helping clients improve customer experiences across the full engagement cycle. Backed by 35+ years of experience, the company blends industry knowledge with optimization tools, platforms, AI, intelligent automation, advanced analytics, and digital services to deliver measurable improvements in growth, efficiency, and productivity.

The organization operates with principles of agility, innovative thinking, integrity, and strong execution. Its client base spans Healthcare, Insurance, Banking and Financial Services, Communications, Media and Entertainment, Technology, Travel and Logistics, and Retail. Sutherland also holds 212 unique and independent inventions tied to patent grants in the US and UK and employs a global team of 40,000.

Role Overview

The Physician Billing Executive manages professional medical billing with a focus on CMS-1500 claims. The position covers claim preparation, review, submission, follow-up on reimbursements, and handling of denials and rejections while maintaining compliance with payer, CMS, and HIPAA requirements.

Key Responsibilities

• Draft, check, and send CMS-1500 professional claims accurately and within the expected turnaround time.
• Confirm patient details, insurance validity, referrals, and prior authorizations before claims are filed.
• Review CPT, HCPCS Level II, ICD-10-CM, modifier, Place of Service, and NPI information for correctness.
• Make sure charges are entered correctly and claims are created from provider records.
• Transmit electronic claims using clearinghouses and insurer portals.
• Detect, investigate, and work through claim edits, rejections, and denials.
• Read EOBs and ERAs to spot underpayments or other payment mismatches.
• Track outstanding accounts receivable and pursue payments to support timely collection.
• Prepare corrected claims, appeals, and reconsideration requests whenever required.
• Work with providers, coders, front-desk teams, and insurance contacts to collect missing information and close billing issues.
• Maintain adherence to CMS rules, HIPAA, payer requirements, and internal standards.
• Measure billing quality, output, and turnaround time against team KPIs.
• Create billing reports and keep clear records of all billing-related actions.
• The posting also includes a direct contact request via WhatsApp or phone at 6301461823.

Requirements

• Any graduate can apply for the role.
• Strong understanding of CMS-1500 claim handling and physician billing workflows.
• Knowledge of AR calling, revenue cycle management, and medical billing terminology.
• Ability to verify insurance, coding, and provider data with attention to detail.
• Experience working with denials, rejections, EOBs, and ERAs is needed for success in the role.
• Familiarity with compliance standards such as CMS guidelines and HIPAA is expected.

Additional Information

Location: Hyderabad, India.

Vacancies, pay, working hours, notice period, and start date are not specified in the source.