01Overview
WE ARE HIRING DESK AUDITOR (Hospital Audit Project) Company: Phoenix Assurance Pvt. Ltd. Position Desk Auditor Hospital Audit Project Job Location: Work From Office / Work From Home --- Working Hours 10:00 AM 6:30 PM Working Days Monday to Saturday
Sunday Off Leave Benefits
1.5 Paid Leaves per Month Salary
Up to 40,000/- per Month (Based on Experience & Interview Performance) --- Key Responsibilities Conduct desk audits of hospital claims by reviewing medical records, tariffs, treatment packages, and policy compliance within the prescribed TAT.
Perform detailed verification of medical documentation to identify discrepancies, overbilling, and policy deviations.
Allocate audited claims to the Field Audit Team and ensure 100% case coverage within TAT.
Supervise and guide Field Auditors during hospital visits, documentation, and audit execution.
Coordinate with hospitals, insurance companies, and internal teams to obtain clarifications and required documents.
Identify billing leakages, tariff discrepancies, package deviations, policy violations, and suspected Fraud, Waste & Abuse (FWA) cases.
Escalate fraud indicators, high-value leakages, and critical findings to senior management on time.
Act as the primary coordination point between the insurer, hospitals, and internal teams throughout the audit process.
Review and validate field audit findings before final submission.
Prepare comprehensive audit observations and submit closure reports within the defined timelines.
Maintain daily MIS reports, audit trackers, and productivity reports.
Ensure compliance with company SOPs, client requirements, and regulatory guidelines. Eligibility Criteria Qualification (Mandatory): MBBS (FMG Candidates Welcome GMC Registration Not Required)
BHMS / BAMS
Experience: Minimum 12 Years of experience in Hospital Audit, Medical Audit, Health Insurance Claims, or Clinical Operations preferred.
Strong clinical knowledge and understanding of hospital treatment protocols.
Good knowledge of health insurance claims, medical documentation, tariffs, and package audits.
Good computer skills and proficiency in MS Excel, MS Office, and Google Sheets.
Excellent analytical, communication, and coordination skills.
Ability to work independently and manage multiple audits within TAT. --- Why Join Phoenix Assurance Opportunity to work on prestigious Hospital Audit Projects. Exposure to leading Insurance Companies and TPAs. Career growth in Medical Audit & Health Insurance. Professional and performance-driven work environment. Learning opportunities in Fraud Detection, Clinical Audit, and Healthcare Compliance. --- Immediate Joiners Preferred Apply Now (mailto:hr@phoenixassurance.in) +91 63588 67436 ---
Phoenix Assurance Pvt. Ltd. Building Trust Through Professional Insurance Investigation & Claim Verification .
