Accounts Receivable Caller at Sutherland - Chennai

Overview

Sutherland is an established global organization specializing in digital transformation and customer experience enhancement across multiple industries including healthcare and financial services. With decades of expertise and an innovative approach leveraging AI and automation, the company supports marquee clients by transforming their business operations.

Role Responsibilities

• Proactively contact insurance providers via phone and email to follow up on pending claims ensuring their prompt processing and payment.
• Identify and resolve issues involving rejected or underpaid claims by initiating correction procedures or appeals.
• Work collaboratively with teams from billing, coding, and finance to reconcile discrepancies and ensure claims are submitted accurately.
• Keep meticulous records of communications, claims status, and actions within the billing platforms.
• Analyze patterns in claim denials and delays for recommending enhancements in billing workflows and collection processes.
• Adhere strictly to HIPAA and relevant healthcare compliance regulations in all documentation and interactions.
• Handle patient inquiries professionally regarding billing and claims matters.
• Meet daily and monthly targets related to accounts receivable collections by actively managing claim follow-ups and resolutions.
• Refer unresolved or complicated claims to designated departments to facilitate further investigation.
• Stay updated on insurance policies, billing procedures, and healthcare industry regulations to maintain operational efficiency and accuracy.

Candidate Profile

• Degree holder from any discipline.
• Commitment to a retention period as required by the company.
• At least one year of experience in physician revenue cycle management and accounts receivable calling.
• Working knowledge of healthcare billing forms such as claim form 1500.
• Familiarity with medical coding tools including CCI and McKesson.
• Experience navigating payer websites and processes efficiently.
• Competence in dealing with specialties like cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.
• Understanding of Clearing House systems such as Waystar and related e-commerce platforms.
• Strong communication skills.
• Willingness to work during night shifts.
• Availability to join immediately.

Compensation and Benefits

• Night shift allowance provided.
• Fixed weekly offs on Saturdays and Sundays.
• Transportation allowance up to 3500 INR.

Additional Information

Sutherland emphasizes integrity and does not solicit any payments or favors for employment opportunities. Candidates are advised to report any suspicious requests to the company immediately.