Job Title : Auditor

Job Description-

Embark on a challenging role as an Auditor, contributing to our company's financial integrity. As an integral part of our team, you will examine financial records, assess compliance with regulations, and recommend improvements to internal controls. The ideal candidate possesses a strong analytical mindset, attention to detail, and excellent communication skills. With a keen understanding of auditing principles, you will play a key role in ensuring transparency and accountability. Join us in this dynamic opportunity to contribute to the financial health of our organization.

Roles and Responsibilities –

Monitors daily claims activity to identify any instances where contractual obligations were violated or where the facility under or over-performed based on contract requirements
Use the existing auditing platforms to analyze claims and ensure that the proper amount of funds were applied to each claim
Work with Compliance Manager to ensure that each claim is being billed and administered in accordance with health insurance requirements and legal framework
Identify persistent claims error trends and report those trends immediately to management
Create service denial reports that ensure that all denials are being done within the guidelines provided.

Skills Required –

Analytical Skills: Ability to analyze financial data and detect discrepancies or irregularities.
Attention to Detail: Meticulous in reviewing and auditing financial records for accuracy.
Audit Planning: Proficiency in planning and executing comprehensive audit procedures.
Regulatory Knowledge: Understanding of relevant laws, regulations, and accounting standards.
Technology Proficiency: Familiarity with audit software and tools for effective auditing processes.
Communication Skills
Problem-Solving: Skill in identifying issues and recommending solutions to improve internal controls.