3.0 - 7.0 years

0 Lacs

karnataka

On-site

As a Medical Claims Review Senior Analyst/Clinical Supervisor in the Complex Claim Unit, you will provide clinical review expertise for high dollar and complex claims, including facility and professional bills. Your role includes identifying coding and billing errors, ensuring the application of Medical and Reimbursement Policies for cost containment, and identifying cases for potential fraud and abuse. Your major responsibilities will involve evaluating medical information against criteria, benefit plans, and coverage policies to determine the necessity for procedures. In cases where criteria are not met, you will refer to the Medical Director. You will also evaluate itemized bills against ...

Posted 1 week ago

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Billing auditor Paras Health

2.0 - 6.0 years

0 Lacs

chandigarh

On-site

Job Description: As a Billing Auditor at Paras Health in Panchkula, Haryana, you will play a critical role in ensuring the accuracy and compliance of medical bills. Your primary responsibilities will include reviewing and auditing IPD patient bills, identifying errors, and working closely with the billing department to rectify any discrepancies. It will be your responsibility to charge missed items in bills, maintain error reports, and highlight any deviations to the concerned departments, including Nursing and Billing. To excel in this role, you must possess a strong knowledge of medical billing practices and have previous experience in auditing patient bills. You will be required to audit ...

Posted 3 weeks ago

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