Billing Auditor

Job Responsibilities: -

• Billing Review & Audit:
• Conduct comprehensive audits of patient billing records to ensure accuracy and compliance with hospital policies, insurance contracts, and applicable healthcare regulations.
• Verify that all charges are correctly captured and coded based on services rendered and corresponding medical documentation.
• Ensure timely and accurate submission of claims, following up on discrepancies, denials and rejected claims.
• Compliance & Regulations:
• Stay up-to-date with changes in healthcare regulations, insurance billing codes, and reimbursement policies.
• Ensure billing practices align with applicable guidelines, as per ECHS, ESI, CAPF, Govt Schemes, TPA and PSU agreements
• Ensure accurate application of billing codes and modifiers.
• Data Integrity & Reporting:
• Identify billing errors or inconsistencies and collaborate with relevant departments (e.g., clinical, coding, finance) to rectify issues.
• Generate regular audit reports for the billing department, highlighting discrepancies, trends, and areas of improvement.
• Assist in the preparation of reports for management review, including financial summaries and audit outcomes.
• Collaboration & Communication:
• Work closely with MTs, physicians, and the finance team to resolve billing issues or discrepancies.
• Communicate billing information and issues clearly with internal stakeholders, insurance providers, and third-party administrators.
• Continuous Improvement:
• Recommend process improvements to enhance billing accuracy, reduce errors, and streamline workflows.
• Participate in regular audits of billing procedures and collaborate with the compliance team for continuous quality improvement.
• Travelling is part of this position.

Interested Candidates kindly forward your resume at amandeep.kaur@livasahospitals.in or can connect at 7743005537