Auditor

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• Initiated career as an AR Caller, liaising with US healthcare insurance providers to resolve denied medical claims on behalf of physicians. • Led and mentored a team within the Quality Assurance department, ensuring high standards in audit delivery and process alignment. • Primary role involves, o Trend analysis and pattern recognition to uncover process gaps. o Identifying claim clustering and reducing cycle time. o Driving process improvement ideas based on quality and productivity metrics. o Creating performance dashboards and visual reports for daily internal reviews. • Acted as a single point of contact for client interactions, managing weekly review meetings with external stakeholders (ATHENA Clients) to present Quality highlights, RCA root cause analysis, and resolution strategies. • Monitored QA auditors’ performance using KPIs such as Calibration, Audit the Auditor, Repeatability, Productivity, and Insight contributions. • Facilitated regular calibration sessions with both internal and external stakeholders to ensure process consistency and accurate auditing. • Owned resolution of client concerns and ensured timely processing of feedback and escalations. • Led smooth transitions of new billing functions and process coverage, sharing monthly Quality Coverage Plans endorsed by department heads. • Served as a Knowledge Champion, supporting teams with billing-related queries and training. • Experience leading quality assurance processes and cross-functional stakeholder meetings • Skilled in trend analysis, RCA (Root Cause Analysis), performance reporting, and process improvement • Passionate about turning raw data into compelling visual stories using Power BI and Excel

  • Jeevitha G.
  • 34
  • 8 years
  • Full-time
  • No 43(2), Kandiamman Nagar, 5th Street, K.T.C. School Road,
  • Tamil Nadu
  • August 28, 2025
  • 9345552135

I need remote job related to auditing, business advisory, financial consultancy and related areas.

  • Muhammad Shehryar
  • 27
  • 3 years
  • Part-time
  • street no. 7, house no. 19. block T, new multan colony, Multan, Pakistan.
  • N/A
  • July 11, 2025
  • 03239952324