It seems to be a Pixel upstream issue - https://support.google.com/pixelphone/thread/264865035/pixel-7-pro-not-receiving-calls-after-march-2024-update
Other threads:
https://discuss.grapheneos.org/d/11421-graphene-os-intermittently-fails-to-ring-for-incoming-calls/
https://discuss.grapheneos.org/d/11890-cell-service-drops
I'm having the same issue as well since mid-March. It's surprising that Google hasn't fixed this issue for almost a month. Especially given the amount of users that are seeing this issue