[ref. w33015401] Medical Audit Associate

Job Description

• 1.

• Conditional Payment Letter) and perform necessary action as per the process.

1. 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.

• Operations Manager
• Operations Training or Quality Team Members 3.

• 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.

• 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.

• Operations Additional Notes An individual should be self-motivated and flexible