Hiring Desk Auditor/ Field Auditor (MBBS Doctors)

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.

Eligibility:

• 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 [Confidential Information]

HR Team

Phoenix Group