- Experience
- 2+ yrs
- Salary
- INR 300,000 – INR 500,000 / year
- Openings
- 1
- Posted
- 4 ദിവസം മുൻപ്
- Work mode
- In office
- Education
- Any graduate
- Eligibility
- Any graduate is eligible to apply for this role.
- Resume
- Required to apply
Where you'll work
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Job description
About Sutherland
Sutherland is a global leader in delivering business and digital transformation along with exceptional client-customer engagement experiences. With over 35 years of expertise, the company combines domain knowledge and optimization strategies using proprietary and partnered technologies to boost organizational growth and efficiency. Sutherland integrates people, processes, products, and platforms through artificial intelligence, intelligent automation, advanced analytics, and digital services to offer innovative solutions across industries like Healthcare, Insurance, Banking, Communications, Media, Technology, Travel, Logistics, and Retail. The company is built upon agility, creativity, integrity, and flawless execution, supported by a team of 40,000 professionals and multiple patented inventions in the US and UK.
Key Responsibilities
- Examine and assess CMS-1500 claim forms to ensure accurate billing.
- Utilize coding tools such as CCI and McKesson for claim verification.
- Confirm claim status, patient eligibility, and coverage by accessing payer portals.
- Manage accounts receivable follow-ups and denial resolution across various medical specialties.
- Apply CPT codes and modifiers with precision.
- Process claims through clearinghouse platforms including Waystar.
- Collaborate effectively with insurance payers and healthcare staff to resolve claims-related concerns.
Candidate Requirements
- At least 2 years of professional experience in Physician Revenue Cycle Management and AR Calling.
- Strong knowledge of CMS-1500 claim forms and physician billing processes.
- Experience in specialties such as Cardiology, Radiology, Gastroenterology, Pediatrics, Orthopedics, Emergency Medicine, and Surgery.
- Graduation in any field is mandatory.
- Willingness to work night shifts.
- Availability to join immediately or within a maximum 15-day notice period preferred.
Perks and Benefits
- Night shift allowance of 100 INR for each working day.
- Fixed weekly holidays on Saturdays and Sundays.
- Two-way transportation service within a 25 km radius.
- Self-transportation allowance of up to 3,500 INR.
Additional Information
Location: Hyderabad (Uppal) office.
Applicants are encouraged to share referrals within their network for this opportunity.
Note: Sutherland does not require any fees or favors for job applications. Any suspicious requests should be reported to the company's Talent Acquisition Helpdesk.
Minimum education
Bachelor's Degree
Industry
BPO & Outsourcing