Sr. Assoc-Trans Processing

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

Role & Responsibilities: -

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

Qualifications

Desired Candidate Profile: -

• Comfortable to Sign a Retention Period.
• Minimum of 2 years of experience in physician revenue cycle management and AR calling.
• Basic knowledge of claim form 1500 and other healthcare billing forms.
• Proficiency in medical coding tools such as CCI and McKesson.
• Familiarity with payer websites and their processes.
• Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.
• Understanding of Clearing House systems like Waystar and e-commerce platforms.
• Excellent communication skills.
• Should be a Graduate.
• Comfortable to Work in Night Shifts.
• Ready to join immediately or 15Days NP.

Additional Information

Perks and Benefits:

• Night shift Allowance (100 Per Working Day)
• Saturday and Sunday Fixed Week Offs.
• 2 Way Cab Facility (within 25 Km Radius).
• 24Days Leave in a Year.
• Upto Rs.5000 incentives.
• Self-transportation bonus upto 3500.