Claims Audit Associate

4 days ago


Chennai, India Steinway Consulting Full time

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).

 


Qualifications:

●    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.



  • Chennai, India Steinway Consulting Full time

    Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●       Claims Review:Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...


  • Chennai, India Steinway Consulting Full time

    Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●       Claims Review:Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...


  • Chennai, India Steinway Consulting Full time

    Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●      Claims Review: Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...


  • Chennai, India Steinway Consulting Full time

    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...


  • chennai, India Steinway Consulting Full time

    Hiring for three Claims Audit Associates for a leading US Healthcare RCM Company based in Chennai.Role - Claims Auditor/ Payment Integrity AssociateLocation - ChennaiType - Full time, Work from OfficeShift - DayRoles & Responsibilities:●      Claims Review: Analyze paid claims to identify errors and incorrect payment.Identify potential fraud,...


  • chennai, India Steinway Consulting Full time

    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...

  • Claim Executive

    6 months ago


    Chennai, India Link K Insurance TPA Pvt Ltd Full time

    Greetings From Link K Insurance TPA, We are Looking for Executive & Senior Executive for Cashless and Claims Department. Location : Chennai, Bangalore, Hyderabad, Mumbai, New Delhi, Kolkata. **Roles & Responsibilities of Cashless/Claims - Executive/Senior Executive**: - Accurate and efficient processing of claims, including verifying policy coverage,...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role- Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities-Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US Healthcare...

  • Us Audit Executive

    12 hours ago


    Chennai, India JOBBYCART TECHNOLOGIES Full time

    Conducts audits using client data to identify errors and recover revenue - Finds, supports, and documents audit and claims operations - Produces claims - Updates claims management system - Bills claims to client - Reviews contracts, agreements, paperwork and electronic documents - Inspects and evaluates client financial information - Provides vendors with...

  • Claims auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

  • Claims Auditor

    4 weeks ago


    Chennai, Tamil Nadu, India EXL Full time

    About the Role at EXLWe are seeking an experienced Claims Auditor with a strong background in US Healthcare, specifically in claims adjudication, processing, pricing, and administrative records review.Key Responsibilities:- Conduct thorough reviews of medical records to identify discrepancies and inaccuracies in claims data.- Analyze and investigate complex...

  • Claim Adjudication

    7 days ago


    Chennai, India NTT DATA Full time

    NTT Data Services is Hiring! Position's Overview At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping...


  • Chennai, Tamil Nadu, India EXL Full time

    About the RoleWe are seeking a skilled Claims Auditor to join our team at EXL in the US Healthcare Payer domain.Key Responsibilities:Claims Adjudication and Processing: Utilize expertise in claims adjudication, pricing, and administrative records review to ensure accuracy and efficiency in claim processing.Clinical Audit and Medical Records Management:...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...

  • Claims Auditor

    1 month ago


    Chennai, India EXL Full time

    About the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience...

  • Associate Fraud

    1 week ago


    Chennai, India WELLS FARGO BANK Full time

    **About this role**: Wells Fargo is seeking an Associate Fraud & Claims Operations Representative... **In this role, you will**: - Support and capture all pertinent information from customers about their claims - Conduct research and provide updates on status of new and existing claims - Identify opportunities to improve customer experience after thorough...