senior AR caller - Physician Billing

Sutherland; Uppal; On-site; INR 350,000 - 650,000; Full time

Job summary

Sutherland Global Services seeks an Accounts Receivable Caller to manage and follow up on outstanding medical/physician billing claims. You will contact insurance payers and patients, research unpaid or denied claims, and pursue timely reimbursement.

You will analyze AR aging, resolve denials, prepare corrected claims, and document payer follow-ups while ensuring accuracy and compliance with billing procedures.

Qualifications

• Bachelor's degree or relevant healthcare/medical billing qualification.
• 24 years of experience in medical billing, AR calling, or physician billing.
• Strong knowledge of the US healthcare revenue cycle (RCM).
• Understanding of insurance claims, denials, EOBs, ERAs, CPT, ICD-10, and HCPCS.

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.

Skills

Medical billing

AR calling

Physician billing

US healthcare RCM

Communication

Typing and documentation

Education

Bachelor's degree in healthcare/medical billing

Tools

Billing software

Job description

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.

Required Skills & Qualifications

• Bachelor's degree or relevant healthcare/medical billing qualification preferred.
• 24 years of experience in medical billing, AR calling, or physician billing preferred.
• Good knowledge of the US healthcare revenue cycle (RCM).
• Understanding of insurance claims, denials, EOBs, ERAs, CPT, ICD-10, and HCPCS.
• Knowledge of Medicare, Medicaid, and commercial insurance processes is an advantage.
• Strong verbal and written communication skills.
• Good analytical and problem-solving abilities.
• Ability to work with AR aging reports and billing software.
• Comfortable communicating professionally with insurance representatives.
• Good typing, documentation, and computer skills.
• Ability to work independently and achieve daily productivity targets.

contact HR Pranavi : [phone]

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