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Company Description:

Sutherland is seeking a goal-oriented and strategic-thinking person to join us as a Manager - Service Delivery. We are a group of driven and hard-working individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you! 

Job Description:

JOB ROLE: -

1. Reviewing and analyzing claim form 1500 to ensure accurate billing information
2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes
3. Familiarity with payer websites to verify claim status, eligibility, and coverage details
4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery
5. Proficiency in using CPT range and modifiers for precise coding and billing
6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions
7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing

Qualifications:

QUALIFICATIONS: -

1. Should be a complete Graduate
2. Minimum of 2 years of experience in physician revenue cycle management and AR calling
3. Basic knowledge of claim form 1500 and other healthcare billing forms
4. Holding experience in medical coding tools such as CCI and McKesson is an added advantage
5. Familiarity with payer websites and their processes
6. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is also an added advantage
7. Understanding of Clearing House systems 
8. Excellent communication skills
9. Comfortable to Work in Night Shifts.
10. Ready to join immediately or 15Days NP

Additional Information:

TIMINGS & TRANSPORT: -

1. Candidates need to be within the radius of 25 km from Sutherland, Manikonda Lanco hills.
2. Two Way Cab Facility will be provided within in the radius of 25 km from Sutherland, Manikonda Lanco hills & with the shift 6:30pm to 3:30am
3. Complete Night Shifts (6:30 PM – 3:30 AM) IST.
4. FIVE DAYS WORKING (MONDAY – FRIDAY) & SATURDAY, SUNDAY WEEK OFF.
5. Need to be Comfortable with WFO-Work from office.
6. Saturday and Sunday Fixed Week Offs.

PERKS & BENEFITS: -

1. Provides Night shift Allowance
2. Saturday and Sunday Fixed Week Offs.