Company Description Bright Health Alliance delivers full-cycle medical billing and revenue cycle management services that help healthcare providers get paid accurately and faster. The organization supports private practices, clinics, and multi-provider groups facing denied or delayed claims, high days in A/R, and staff overwhelmed by billing tasks.

Services span medical coding, claims submission, denial management, payment posting, A/R follow-up, performance reporting, credentialing, and payer enrollment. With specialty-aligned billing teams, HIPAA-compliant U.S.-based operations, and real-time dashboards, Bright Health Alliance achieves a high clean claim rate and significantly faster reimbursement timelines. The company emphasizes transparency at every step so providers can focus on patient care while billing operations are managed efficiently.

Role Description This is a full-time, on-site Fraud Analyst / Compliance Analyst role based in the Mohali district. The individual in this role will review billing, claims, and payment data to detect potential fraud, abuse, and compliance risks across the revenue cycle.

Day-to-day responsibilities include analyzing chargebacks and unusual account activity, conducting investigations, documenting findings, and preparing reports for leadership. The role also involves monitoring adherence to internal policies and regulatory requirements,



recommending process improvements, and supporting corrective actions to mitigate risk. Collaboration with billing teams, account managers, and external partners is essential to ensure accurate, compliant operations and to communicate outcomes clearly and professionally.

Qualifications

- Candidates should possess solid Fraud Prevention and Fraud Analysis skills to identify patterns, anomalies, and potential high-risk activities.
- Candidates should possess advanced Analytical Skills to work with large data sets, interpret trends, and develop actionable insights.
- Candidates should possess solid knowledge of Chargebacks and dispute handling within the healthcare or financial services environment.
- Candidates should possess clear and professional Communication skills for reporting findings, collaborating with teams, and interacting with stakeholders.
- Relevant experience in healthcare revenue cycle, medical billing, compliance, or risk management is highly beneficial.
- Familiarity with HIPAA, regulatory guidelines, and internal control frameworks is preferred.
- Proficiency with spreadsheets, data analysis tools, and billing or RCM software is an advantage.
- Bachelor’s degree in Finance, Accounting, Business, Healthcare Administration, or a related field (or equivalent practical experience) is preferred.

📌 Fraud Analyst / Compliance Analyst (Sahibzada Ajit Singh Nagar)
🏢 Netto
📍 Sahibzada Ajit Singh Nagar