Medical Audit Associate
Employer Active
Job Alert
You will be updated with latest job alerts via email
Job Alert
You will be updated with latest job alerts via email
Job Description
Medical Audit Associate
Position Reports to: Team Lead Department: Operations
Job Locations: Vadodara India Job Description:
- 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 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 Code set and capture Approved/Denial charges in CPL of the claimant.
- Need to achieve 100% accuracy by following SOP and audit protocol.
- The candidate is expected to be wellorganized and creating positive work environment.
- Adhering to company policies/client principles and hence taking good care of clients culture.
List the other roles (designations) with whom this job incumbent must interact to deliver on day today responsibilities:
Medical Audit Team
Team Lead
Assistant Manager Operations
Manager Operations
Training or Quality Team Members
- Role Holder Skills Criteria:
Technical skills required
Behavioural skills required
- Typing speed of 30 WPM
- Communication Skill Email writing
- Basic knowledge of MS office applications like MS Excel MS word and MS PowerPoint
- Flexible enough to work cross functional
- Research and Analytic Skill
- Learning capability
Experience: 1 2 Years of experience into MNC or US/ EU based BPO / KPO.
Training: Describe various technical training which are critical to perform this role effectively eg: Excel Project Management etc
Excel Call & Email Etiquettes PowerPoint
Training Describe the various soft skills training required to perform this role effectively eg: Communication Skills etc
Basic understanding of US culture
Basic understanding of organisation culture and behaviour
Education and Qualifications Mention minimum education 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 organisation
If he/she is performing good in the current role may grow to Associate Operations II or Sr.
Associate Operations
Additional Notes
An individual should be selfmotivated and flexible
Employment Type
Full Time
Key Skills
