12 Sep
|
Care Hospitals
|
India
12 Sep
Care Hospitals
India
Contact Number - +91-XXXXXXXXXX
Key Responsibilities
- Internal Audit Planning
- Prepare and execute the annual/monthly internal audit plan.
- Identify high-risk areas and prioritize audits accordingly.
- Financial Audit
- Review hospital revenue, expenses, payments, receipts, and accounting transactions.
- Verify financial records and supporting documents for accuracy.
- IPD & OPD Revenue Audit
- Audit OPD/IPD billing, discounts, refunds, packages, deposits, and final bills.
- Identify billing errors, revenue leakages, and unauthorized adjustments.
- Insurance & TPA Audit
- Review insurance/TPA claims, approvals, deductions, denials, and settlements.
- Ensure documentation and billing comply with payer requirements.
- Cash & Bank Audit
- Verify daily cash collections, deposits, petty cash, and bank reconciliation.
- Investigate cash shortages, excesses, or unusual transactions.
- Inventory & Pharmacy Audit
- Conduct audits of pharmacy, medical supplies, consumables, and other inventories.
- Check stock movement, wastage, expiry, shortages, and unauthorized usage.
- Process & Operational Audit
- Audit hospital processes such as admissions, discharge, billing, purchase, stores, pharmacy, laboratory, and diagnostic services.
- Recommend improvements to strengthen process controls.
- Compliance & Control
- Ensure departments follow hospital policies, SOPs, statutory requirements, and internal controls.
- Identify control gaps and recommend corrective measures.
- Audit Reporting & Follow-up
- Prepare detailed audit reports highlighting observations, financial impact, risks, and recommendations.
- Follow up with departments to ensure timely closure of audit observations.
Key Responsibilities
- Claim Follow-Up: Contact US insurance companies by phone or portal to check the status of outstanding or aging hospital claims.
- Denial Management: Analyze root causes for claim rejections, underpayments, or denials, and take corrective action like submitting appeals.
- Documentation: Accurately update call logs, notes, and action outcomes in hospital billing software (such as EPIC PMS or UB04 claim forms).
- Target Achievement: Meet daily productivity, quality, and collection goals set by the revenue cycle management (RCM) team
Pay: ₹22,000.00 - ₹25,000.00 per month
Benefits:
- Adaptable schedule
- Provident Fund
Work Location: In person
📌 Audit Deputy manager (India)
🏢 Care Hospitals
📍 India