Revenue Assurance / Revenue Cycle Audit

Long Shot Jobs - CA Job Aggregator; Ernakulam; On-site; INR 700,000 - 1,200,000; Full time

Job summary

Long Shot Jobs is seeking a skilled professional to manage revenue assurance, revenue cycle audits, and financial process reviews in the healthcare sector. The role focuses on identifying revenue leakages, improving billing accuracy, reviewing insurance claims, and strengthening internal controls.

The candidate will be responsible for monitoring KPI dashboards, identifying automation opportunities, and ensuring compliance with accounting standards.

Qualifications

• Experience in revenue assurance and healthcare finance operations.
• Knowledge of hospital billing and healthcare financial processes.
• Experience reconciling insurance and TPA claims.
• Understanding of credit notes, write-offs and financial adjustments.
• Strong analytical, reporting and problem-solving skills.

Responsibilities

• Revenue Leakage Assessment: Identify revenue leakages, financial discrepancies, and gaps in existing processes.
• Patient Billing Audit: Review patient billing, charge capture, and billing accuracy.
• Pricing & Tariff Validation: Verify pricing, tariffs, discounts, and package billing.
• Insurance & TPA Claims: Review insurance and TPA claims, perform reconciliations, and analyse claim denials.
• Credit Notes & Write-offs: Review credit notes, write-offs, and revenue adjustments.
• Revenue Cycle Analytics: Monitor revenue cycle performance and prepare KPI dashboards.
• Process Improvement: Recommend process optimization measures and strengthen internal controls.
• Compliance: Ensure compliance with applicable accounting standards and regulatory requirements.
• Automation: Identify automation opportunities to improve operational efficiency and accuracy.

Skills

Revenue assurance & revenue cycle mgmt

Hospital billing & healthcare finance

Insurance & TPA claim reconciliation

Credit notes, write-offs & adjustments

Analytical, reporting & problem‑solvng

Internal audit & financial controls

Tools

MS Excel

MIS reporting

Job description

Company Description

Long Shot Jobs is a specialized job aggregator focused on connecting Chartered Accountants and finance professionals with curated opportunities in one streamlined platform. Using a powerful match-making algorithm, the platform aligns job seekers with relevant roles based on profile, location, experience, and salary expectations. Candidates can apply for multiple roles quickly and use an integrated BOT to assess eligibility before applying. The community includes over 8,500 registered candidates across India, covering 950+ cities and all states and union territories. Long Shot Jobs aims to simplify job search by reducing the need to visit multiple job portals and channels, offering access via an Android app and a web-based iOS solution.

Job Summary

We are looking for a skilled professional to manage revenue assurance, revenue cycle audits, and financial process reviews in the healthcare sector. The candidate will be responsible for identifying revenue leakages, improving billing accuracy, reviewing insurance claims, and strengthening internal financial controls.

Key Responsibilities

• Revenue Leakage Assessment: Identify revenue leakages, financial discrepancies, and gaps in existing processes.
• Patient Billing Audit: Review patient billing, charge capture, and billing accuracy.
• Pricing & Tariff Validation: Verify pricing, tariffs, discounts, and package billing.
• Insurance & TPA Claims: Review insurance and TPA claims, perform reconciliations, and analyse claim denials.
• Credit Notes & Write-offs: Review credit notes, write-offs, and revenue adjustments.
• Revenue Cycle Analytics: Monitor revenue cycle performance and prepare KPI dashboards.
• Process Improvement: Recommend process optimization measures and strengthen internal controls.
• Compliance: Ensure compliance with applicable accounting standards and regulatory requirements.
• Automation: Identify automation opportunities to improve operational efficiency and accuracy.

Required Skills

• Strong understanding of revenue assurance and revenue cycle management.
• Knowledge of hospital billing and healthcare financial operations.
• Experience in insurance and TPA claim reconciliation.
• Understanding of credit notes, write-offs, and financial adjustments.
• Good analytical, reporting, and problem-solving skills.
• Proficiency in MS Excel and MIS reporting.
• Knowledge of internal audit and financial controls.