Role & Responsibilities

- Call multiple US healthcare payers/providers to collect and validate required claim information.

- Access client applications and review relevant claim information.

- Audit claims and EOBs to identify incorrect or overpaid claims.

- Perform audits based on client policies, procedures, and SOPs.

- Analyze claims and supporting documents to validate overpayments.

- Collect accurate information and documentation required for claim resolution.

- Maintain transparent and accurate documentation of audit findings and outcomes.

- Manage assigned inventory and meet defined productivity, quality, and SLA targets.

- Use available tools and applications to resolve assigned cases.

- Follow process SOPs and stay updated with process changes.

- Implement feedback from managers and quality teams to improve performance.





- Maintain compliance with internal controls and data-security requirements.

Preferred Candidate Profile

- Graduate in any discipline.

- Maximum 4 years of experience in US Healthcare, BPO, Claims, or related processes.

- US Healthcare experience is preferred, especially Payer/Provider Calling or Claims.

- Freshers with excellent communication skills may also be considered.

- Strong verbal and written communication skills.

- Good analytical and problem-solving skills.

- Ability to interpret data and make timely decisions.

- Ability to work independently and handle multiple projects simultaneously.

- Willingness to work in night/US shifts.

- Good attention to detail and ability to follow defined processes and SOPs.

📌 Audit Support Assistant I (Hyderabad)
🏢 Cotiviti
📍 Hyderabad