Job Details

Experience Needed:1 To 3 Years

Career Level:Experienced (Non-Manager)

Education Level:Not Specified

Salary:Confidential

Job Categories:

• Administration
• Medical/Healthcare

Skills And Tools:

Medical Claims AuditingProblem SolvingClaims AnalysisTeam CollaborationCommunicationAttention to DetailMedical InsuranceAuditing

Job Description

● Review and audit medical claims to ensure accuracy, completeness, and compliance with established policies and regulations.

● Collaborate with medical, administrative, and billing teams to resolve claim issues and clarify documentation requirements.
● Ensure all claims adhere to insurance guidelines, coding standards

, and hospital protocols.
● Stay updated on changes in healthcare regulations and insurance policies.
● Support external audits and regulatory reviews by providing necessary documentation and explanations.

Job Requirements

• Bachelor’s degree in Medicine.
•  1-3 years of experience in Inpatient / Outpatient medical claims auditing.
•  Excellent analytical and problem-solving skills with keen attention to detail.
• Strong communication and interpersonal skills for effective collaboration.

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