SR AR Caller - Physician Billing

Sutherland; Uppal; On-site; INR 350,000 - 550,000; Full time

Job summary

Sutherland is seeking an experienced Accounts Receivable Caller to manage and follow up on outstanding physician billing claims. You will contact insurers and patients, research unpaid or denied claims, and ensure timely reimbursement.

The role requires 18 months to 4 years in Physician RCM, familiarity with CMS-1500 forms, payer portals, and tools like Waystar. Night shifts and immediate joining are preferred.

Qualifications

• 18 months to 4 years of Physician RCM and AR Calling experience.
• Good understanding of CMS-1500 claim forms and physician billing.
• Familiarity with payer portals and Waystar.
• Experience in specialties such as Cardiology, Radiology, Pediatrics, Orthopedics, Emergency Medicine, and Surgery.
• Willing to work night shift and immediate joiners or with up to 15 days notice period.

Responsibilities

• Follow up on outstanding medical/physician claims with insurers and patients.
• Verify claim status, payment details, denials, rejections, and pending claims.
• Prepare and submit corrected claims, reconsiderations, and appeals when required.
• Review EOBs/ERAs and interpret payer responses accurately.
• Coordinate with coding, billing, payment posting, and other teams to resolve issues.
• Meet assigned AR, productivity, quality, and collection targets.

Skills

AR Calling

Medical Billing

Denials management

Education

Any Graduate

Tools

CMS-1500 forms

Waystar

Payer portals

McKesson

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.

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 - [e-mail]

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

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