Claims - External Audit - Assistant Manager

4 - 8 years

5 - 6 Lacs

Posted:3 weeks ago| Platform: Naukri logo

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Skills Required

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

  • To Audit daily allotted cases as per Target
  • To compare the audit remarks received from the claims team
  • To maintain quality while doing the audit
  • To coordinate with the provider network team and account managers or internal

teams for additional Information about claims, tariff etc.

  • To complete the Audit finding to a Logical end

To share the responses to the insurer within the TAT.

  • To assess the RCA for the errors and suggest the resolutions to avoid future audit

recoveries.

  • To conduct physical discussions with the insurers for the closure of the audit
  • To update the audit tracker with all details
  • To monitor the audit closure till payment to the insurer

Preferred candidate profile

• Medical knowledge

• Team Work

• Job Knowledge

• Discipline

• Meeting Deadlines

• Willingness to Learn

• Managerial & Behavioural Drive for results

Please share Cv 's to roopa.kulkarni@mediassist.in

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Medi Assist logo
Medi Assist

Hospitals and Health Care

Bengaluru Karnataka

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