Medical Claims Auditor

13 hours ago


Gurgaon, Haryana, India beBeeAuditor Full time ₹ 8,00,000 - ₹ 12,00,000

Job Title: Medical Claims Auditor

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  • The successful candidate will be responsible for auditing and evaluating the accuracy and effectiveness of Accounts Receivable functions.
  • This role involves reviewing claim resolution workflows to ensure adherence to client-specific guidelines and compliance standards.
  • You will identify quality gaps and provide actionable feedback to AR executives and team leads.

About the Role: We are seeking a detail-oriented professional with experience in US healthcare RCM, specifically in AR follow-up.

Responsibilities:

  • Audit AR-related activities such as insurance follow-ups, aging buckets, denial handling, and collections.
  • Review claim resolution workflows to ensure adherence to client-specific guidelines and compliance standards.
  • Identify quality gaps and provide actionable feedback to AR executives and team leads.
  • Track error trends, perform root cause analysis, and suggest corrective measures.
  • Maintain detailed documentation of audit results and participate in calibration sessions.

Requirements: 1-2 years of experience as a Quality Analyst in US healthcare RCM, specifically in AR follow-up. Strong knowledge of denial types, AR workflows, payer communication, and appeals process. Hands-on experience with tools like Cerner, Athena, Epic, AdvancedMD or similar billing platforms.

Why Work with Us: Complimentary medical coverage for your family, retirement savings and insurance benefits, transparent performance reviews and growth support, employee rewards through the Pixel Workplace Recognition Program, work-life balance with a supportive collaborative culture.


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