SR AR Caller - Physician Billing

Greetings from Sutherland Global Services

Job Summary

We are seeking an experienced Accounts Receivable (AR) Caller to manage and follow up on outstanding medical/physician billing claims. The role involves contacting insurance companies and patients, researching unpaid or denied claims, resolving billing issues, and ensuring timely reimbursement.

Key Responsibilities

• Follow up with insurance companies on outstanding medical/physician claims.
• Verify claim status, payment details, denials, rejections, and pending claims.
• Contact insurance payers through phone, portals, and other appropriate channels.
• Analyze AR aging reports and prioritize accounts based on age, balance, and payer.
• Investigate and resolve claim denials, underpayments, and payment discrepancies.
• Identify denial reasons such as eligibility, authorization, coding, timely filing, and medical-necessity issues.
• Prepare and submit corrected claims, reconsiderations, and appeals when required.
• Review EOBs/ERAs and accurately interpret payer responses.
• Maintain detailed documentation of all payer follow-ups and account actions.
• Coordinate with coding, billing, payment posting, and other teams to resolve account issues.
• Escalate complex or high-value accounts appropriately.
• Ensure compliance with company policies and healthcare billing procedures.
• Meet assigned AR, productivity, quality, and collection targets.

Desired Candidate Profile:

• Minimum 18 months to 4 years of experience in Physician RCM and AR Calling.
• Good understanding of CMS-1500 claim forms and physician billing
• Familiarity with CCI, McKesson, payer portals, and Waystar.
• Experience in specialties such as Cardiology, Radiology, Gastroenterology, Pediatrics, Orthopedics, Emergency Medicine, and Surgery.
• Graduate in any discipline.
• Comfortable working in the Night Shift.
• Immediate joiners or candidates serving up to a 15-day notice period are preferred.

HR Contact - 7286960006 - [email protected]

If you have relevant experience or know someone who is a good fit, share this opportunity with your network!

Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to [email protected]