Claims Audit Associate
4 days ago
Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.
Role - Claims Auditor/ Payment Integrity Associate
Location - Chennai
Type - Full time, Work from Office
Shift - Day
Roles & Responsibilities:
● Claims Review:
- Analyze paid claims to identify errors and incorrect payment.
- Identify potential fraud, waste,abuse in claims submitted by hospitals & providers.
● Reporting: Create reports on incorrect claim trends and discrepancies.
● Process Improvement: Recommend best practices for payment accuracy.
● Compliance: Ensure adherence to healthcare regulations (CMS. HIPAA).
● Bachelor’s degree
● Experience of atleast 2+ years in payment integrity/claim audit.
● Knowledge of healthcare billing, coding, and reimbursement.
● Strong analytical skills and familiarity with healthcare regulations.
● Certifications like CPC or CHA are a plus.
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