Hiring Desk Auditor/ Field Auditor (MBBS Doctors)

Phoenix Assurance Pvt Ltd; Vadodara; On-site; INR 446,400 - 669,600; Full time

Job summary

A healthcare auditing company is seeking a Medical Field Auditor to support the AB-PMJAY project. The role involves auditing healthcare claims and ensuring compliance with medical guidelines. Candidates must hold an MBBS degree with GMC registration. Responsibilities include conducting audits, evaluating claims, and providing recommendations for accuracy. Flexible work hours are provided at our office locations in Ahmedabad and nearby areas. Salary ranges from ₹40,000 to ₹60,000, negotiable based on interview performance.

Qualifications

• Must have a valid MBBS degree and registration with Gujarat Medical Council.
• Proficiency in medical auditing and claim processing is essential.
• Basic knowledge of MS Office and email communication required.

Responsibilities

• Conduct audits of pre-authorization and claim processes.
• Evaluate claims based on Standard Treatment Guidelines.
• Provide detailed audit reports and recommendations.
• Ensure compliance with project-specific protocols.
• Collaborate with internal teams to implement audit strategies.

Skills

Medical auditing

Claim processing

Proficiency in MS Office

Communication skills

Education

MBBS with GMC Registration

Job description

Job Title: Medical Field Auditor/Medical desk auditor (AB-PMJAY Scheme)

Qualification: MBBS with GMC Registration

Salary: ₹40,000-60000/- (Negotiable, Based on Interview)

Medical Desk Auditor- Ahmedabad Location (work from office)

Medical Field Auditor - Bharuch, Ahmedabad, Baroda, Banaskatha (2 Hospital Visit Per Day)

Job Description:

We are hiring a Medical Field Auditor/Medical Desk auditor to support the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) project. The selected candidate will play a vital role in auditing healthcare claims and ensuring adherence to medical guidelines and protocols.

Key Responsibilities:

• Conduct audits of pre-authorization and claim processes to identify discrepancies and financial leakages.
• Evaluate claims following Standard Treatment Guidelines (STG) and Health Benefit Packages (HBP) under AB-PMJAY.
• Provide detailed audit reports and recommendations for improving claims accuracy and reducing errors.
• Ensure compliance with project-specific protocols to achieve high-quality outcomes.
• Collaborate with internal teams to implement audit strategies effectively.
• MBBS degree with mandatory registration in Gujarat Medical Council (GMC).
• Proficiency in medical auditing and claim processing.
• Basic knowledge of MS Office and email communication.
• Familiarity with AB-PMJAY claim processing or similar experience is preferred.

Work Timings: 10:00 AM to 6:30 (Felxible) PM, Monday to Saturday

Location: Ahmedabad, Gujarat for (Medical Desk Auditor)

For Meidical Filed auditor ( Banaskatha/ Baruch/ Baroda)

How to Apply:

Send your CV to [e-mail]