Concurrent Auditor

2 days ago


Ghaziabad, Uttar Pradesh, India Max Healthcare Full time
Job Description

Role & responsibilities

Key Activities performed by Concurrent Auditor:

- Focus on Revenue Assurance, Billing Accuracy and Consumption.
- Co-ordination with Central Pricing Team for IT developments & Tariff changes etc in order to eliminate chances of wrong /Misc billing.
- Review of Exception Reports generated through BI/ERP on daily basis.
- Reconciliation of high value investigation and Diagnostics.
- Focuses on identifying Process gaps related with non-charging of services.

Other Focus Areas:

- Control over Manual billing descriptions by Physical Verification and Reconciliation of Manual bill books.
- Control over discount and refunds.
- Keep a track over all the service to be charged as per the consumable usage like Ventilator Initiation, Endotracheal Intubation, Catheterization, Nebulisation, Sugar Strip, ABG and Equipment etc.
- Constant close interaction with IP Billing Team for non-billing services,
- Responsible for resolving quires & prepare replies to external /internal Auditors.

Process Orientation/ Documentation

- To be responsible for accurate billing to avoid any complaint of wrongexcess billing.
- To keep a tab on all Billing related policies and procedures and amendment thereof.

Cost & Revenue:To ensure the billing is done as per Billing Policies and highlights any revenue leakages.

Measurable Deliverables

- Ensure efficient IPD Billing flow processes & TAT compliance.
- Drive new initiatives for betterment of flow processes.
- Minimum errors in billing.
- Control on Revenue Leakage.

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