Audit Analyst - Pune - Hexagon Executive

Job Description

Roles and Responsibilities:

• Ensure compliance with contract administration, demographic maintenance, and service level requirements through claim reviews and client appeals.
• Conducts Audit-the-Auditor claim audits.
• Support request for funding and other financial related activities supporting claims adjudication.
• Support business goals & system fixes by claim reviews, analyzing, identifying, and resolving issues.
• Participate in documenting and prioritizing potential solutions to issues & fallout for system issues.
• Establish and implement interim workaround solutions as needed and communicates to all impacted users.
• Assist in establishing and communicating new and existing policy and procedures.

Required Skills:

• US Healthcare Experience
• Experience withClaims processing/Adjudicator
• Pro efficient with data management and excel

Preferred Skills:

• Claims Auditing

Call to action: To know more about this opportunity, please email your updated resume and the best time/number to reach you at de***j@he**********t.com

Job Classification

Industry: Medical, Healthcare, Hospitals
Functional Area: Financial Services, Banking, Investments, Insurance,
Role Category: Operations/Processes
Role: Operations/Processes
Employement Type: Full time

Education

Under Graduation: Any Graduate in Any Specialization
Post Graduation: Any Postgraduate in Any Specialization, Post Graduation Not Required
Doctorate: Doctorate Not Required, Any Doctorate in Any Specialization

Contact Details:

Company: Hexagon Executive
Location(s): Pune

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Keyskills:   Audit Claims Insurance Claims US Healthcare claims audit Claims Adjudication Claims Processing