MBE/WBE Certified
Credence Global Solutions

Senior Executive – Internal Audit RCM (2 Pos.)

Internal Audit 

Job Role

  • Audit all controls prepared as per plan within stipulated timelines
  • Able to work independently and produce results with minimal supervision
  • Apply audit principles, procedures and techniques
  • Execute the Audit Plan and organize the work effectively to ensure coverage of Processes & Functions
  • Prioritize and focus on matters of significance
  • Monitor calls and audit dialer reports to check for Regulatory requirement adherence
  • Collect information through effective interviewing, listening, observing and reviewing documents, records and data
  • Understand the appropriateness and consequences of using sampling techniques for auditing
  • Verify the accuracy of collected information
  • Confirm the sufficiency and appropriateness of audit evidence to support audit findings and conclusions
  • Backend process support and execution of all scheduled onsite audits  
  • Assess those factors that can affect the reliability of the audit findings and conclusions
  • Prepare audit reports of suitable quality and professionalism
  • Maintain confidentiality and security of any information provided
  • Communicate effectively, either through personal linguistic skills or through an interpreter

Candidate Requirements

  • 5+ Years of experience in a compliance/ quality or audit role
  • Has prior experience in AR / Revenue Cycle Management / Denial Management
  • Experience in testing various audit controls
  • Understanding contract Management and Vendor Governance to a certain extent could be an added advantage
  • Excellent knowledge in RCM Authorization, Eligibility & Benefits Verification, Claims Billing, System edits, Payment Posting, Rejections Management  
  • Willingness to work in night shifts
  • Should have strong MS Office skills

Job Category: Internal Audit RCM
Job Type: Full Time
Job Location: Pune IN

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