Job Description

Sutherland is seeking a skilled and experienced AR Caller / RCM Specialist to join our dynamic healthcare team. If you have a strong understanding of Physician Billing, CMS 1500, and Denial Management, this is the perfect opportunity to advance your career with a global leader in business process transformation. Key Responsibilities: Review and resolve denied claims, ensuring timely follow-up with insurance providers. Work on CMS 1500 claim submissions, corrections, and reprocessing. Identify and analyze denials, take necessary actions, and resubmit claims as needed. Apply knowledge of Modifiers, Hoopa Guidelines, and insurance policies to maximize reimbursements. Handle AR follow-ups and maintain accurate documentation of interactions. Collaborate with internal teams to enhance billing processes and reduce denials. Meet productivity and quality benchmarks set by the company. Required Skills & Qualifications: Minimum 12 months of experience in CMS 1500 claims processing. Strong expertise in Denial Management and AR calling. Familiarity with Physician Billing, Modifiers, and Hoopa Guidelines. Excellent communication and negotiation skills. Ability to work in a fast-paced, target-driven environment. Any Undergraduate/Graduate degree. What We Offer: Competitive Salary Package Rotational Night Shifts Transportation Facilities Comprehensive Benefits Package Career Growth & Development Opportunities Join Sutherland and be part of an innovative team driving excellence in healthcare revenue cycle management sponsibilities Role & responsibilities