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