? We're Hiring: Healthcare Audit Specialist ?
We are looking for a detail-oriented Audit Specialist to join our team in ensuring compliance and optimizing healthcare processes. The ideal candidate will possess strong analytical skills and experience in auditing practices within the healthcare sector.
? Location: Bangalore, India
⏰ Work Mode: Hybrid
? Role: Audit Specialist
The Audit Specialist supports the Audit department by auditing, submitting, monitoring, and resolving VA and Medicaid claims for Home Health, Home Health Aide, and Respite Care services. This role requires strong knowledge of insurance coverage, state-specific billing regulations, authorization requirements, and timely filing guidelines, particularly for Managed Care Organizations, including extension and reprocessing timelines. Key responsibilities include correcting claim errors, managing clearinghouse and payer rejections, resolving denials, tracking appeals and escalations, and ensuring timely and accurate reimbursement.



This individual serves as a subject-matter expert for assigned payers and state billing requirements and partners with internal teams to resolve complex billing issues.
This position also requires the ability to interpret EOBs, remittances, and EOPs to determine appropriate next steps, even without direct access to payer portals. The ideal candidate is a proactive problem-solver who can develop and communicate solutions, write clear provider summaries, and share knowledge by teaching and supporting the team. Solid attention to detail, disciplined follow-through, flexibility, and the ability to manage multiple priorities while meeting daily productivity standards are essential. The specialist serves as a key point of contact for provider escalations and ensures accurate tracking and documentation in HubSpot. This position reports to the Audit Manager.
Core Responsibilities:
Audit assigned claims daily to confirm accuracy of:
Member/patient info, DOS, units/visits, service type

📌 Audit Specialist (Bengaluru)
🏢 Eastvantage
📍 Bengaluru