Medical Audit Associate

24 hours ago

Vadodara, India Asian Hires Full time

**Job Title**

Lien Ops Associate I

**Departmen**t Operations

**Reports to (Designation)** Team Lead

Job Role (Brief description of the over all purpose of this role):
Being a part of very complex yet important process, the associate is responsible to review the medical records (CPL - Conditional Payment Letter) and perform necessary action as per the process. Taking the lien resolution to the further level. He/she will ensure that the correct information captured in CPL (Approved/Denial), transcribed accurately and point out the process anomaly and perform quality check.

**Responsibilities / KRAs ( list down primary responsibilities for this role)**

Review medical document (CPL) available in LPM as per the audit protocol, Coreset and capture Approved/Denial charges in CPL of the claimant Need to achieve 100% accuracy by following SOP and audit protocol

Adhering to company policies/ARCHER principles and hence taking good care of Archer culture.

**Technical skills required**

**Behavioural skills required**

Typing speed of 30 WPM Communication Skill

Flexible enough to work cross
- functional Research and Analytic Skill Learning capability

experience required for this role 1 - 2 Years of experience into MNC or US/ EU based BPO / KPO.
- Describe the various soft skills training required to perform this role effectively, eg: Communication Skills etc.

Basic understanding of US culture,
Basic understanding of organization culture and behavior Education and

**Qualifications** - qualification required

Graduate

**Career Path** ( Kindly list one or two options for an individual who becomes a specialist in this role to progress in this organization If he/she is performing good in the current role, may grow to Associate Operations - II or Sr. Associate - Operations

**Job Types**: Permanent, Full-time

**Salary**: ₹22,000.00 - ₹36,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift
- Monday to Friday
- UK shift
- US shift

Ability to commute/relocate:

- Vadodara, Gujarat: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (required)

**Speak with the employer**
+91 7268883491

  • Medical Audit Executive

    6 days ago

    Gorwa, Vadodara, Gujarat, India Neelam Enterprise Full time

    **Lien Ops Associate I** **Job Role (Brief description of the overall purpose of this role)**: Being a part of very complex yet important process, the associate is responsible to review the medical records (CPL - Conditional Payment Letter) and perform necessary action as per the process. Taking the lien resolution to the further level. He/she will ensure...

  • Audit Associate

    2 weeks ago

    Vadodara, Gujarat, India O.P Rathi & co. Full time

    We're Hiring: Audit Associate Location: Vadodara Experience: 3-4 Years in ERP or Zoho Qualification: CA Inter **Key Responsibilities**: - Has strong experience with Zoho Books or other ERPs - Can independently handle accounts, reconciliations, reporting - Is detail-oriented and solution-driven - Wants to work with multiple clients across...

  • Medical Billing Executive

    1 week ago

    Vadodara, Gujarat, India Healthcare Informatics Full time ₹ 4,00,000 - ₹ 8,00,000 per year

    U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries. Required Candidate profileSeeking experts in U.S. medical billing, charge entry with ECW software experience. Knowledge of ICD-10, CPT, claims...

  • Senior Medical Coder

    2 weeks ago

    Vadodara, India Whatjobs IN C2 Full time

    Position: Senior Medical Coding Specialist – AI/ML Audit & Training (Athena Experience Preferred) Company: OlleyaHealth | Location: Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings) Schedule: Full-Time | English Fluency Required | CST Overlap About the Organization: AI-Driven Coding Automation for U.S. Healthcare Providers At OlleyaHealth,...

  • Urgent Hiring For medical billing

    6 days ago

    Vadodara, Gujarat, India Healthcare Informatics Full time ₹ 15,00,000 - ₹ 28,00,000 per year

    U.S Health Insurance for Medical Billing, Demo & Charge Entry Process. Review and audit claims, Rebilling. The candidate will be responsible for reviewing and auditing medical claims, handling charge entries.

  • Medical Information and Medical Advisor

    6 days ago

    Vadodara, India Ortolan Group Full time

    **Medical Information and Medical Advisor** Vadodara or Mumbai, India Full-time, permanent position **Salary**: Competitive + Benefits + Bonus If you are a medical information management professional with medical advisory experience, then we want to hear from you! Join us to help improve peoples' lives and make healthcare better for everyone! **Why...

  • Medical Officer – TPA Claim Process

    3 weeks ago

    Vadodara, India Nucleon Health Full time

    Job Title: Medical Officer – TPA Claim ProcessDepartment: TPA / Health Insurance DeskLocation: VadodaraReporting To: TPA Manager / Operations HeadJob Summary:The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination between...

  • Medical Officer – TPA Claim Process

    3 weeks ago

    Vadodara, India Nucleon Health Full time

    Job Title: Medical Officer – TPA Claim Process Department: TPA / Health Insurance Desk Location: Vadodara Reporting To: TPA Manager / Operations Head Job Summary: The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...

  • Medical Officer – TPA Claim Process

    3 weeks ago

    Vadodara, India Nucleon Health Full time

    Job Title: Medical Officer – TPA Claim Process Department: TPA / Health Insurance Desk Location: Vadodara Reporting To: TPA Manager / Operations Head Job Summary: The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...

  • Medical Officer – TPA Claim Process

    2 weeks ago

    Vadodara, India Nucleon Health Full time

    Job Title: Medical Officer – TPA Claim Process Department: TPA / Health Insurance Desk Location: Vadodara Reporting To: TPA Manager / Operations Head Job Summary: The Medical Officer (TPA) will be responsible for reviewing, validating, and processing insurance (TPA) claims, ensuring medical accuracy, compliance with policy terms, and timely coordination...