Billing Auditor

C-Care Hospitals & Clinics Mauritius is currently looking for a Billing Auditor.

Reporting to the Finance Lead, the Billing Auditor is responsible for reviewing and auditing patient bills to ensure accuracy, completeness, and compliance with hospital policies, approved tariffs, and insurance requirements. The incumbent will identify and resolve billing discrepancies, collaborate with clinical and administrative departments to ensure correct charge capture, support revenue assurance initiatives, maintain accurate audit records, and contribute to the timely processing of patient invoices while minimizing revenue leakage and ensuring compliance with internal controls.

•  Audit inpatient and outpatient bills to ensure all charges are accurate, complete, and supported by clinical documentation.
•  Verify that medical procedures, investigations, medications, consumables, and room charges have been correctly billed.
•  Ensure billing complies with approved hospital tariffs, insurance requirements, and company policies.
•  Identify billing discrepancies, omissions, duplicate charges, or errors and coordinate with relevant departments for timely correction.
•  Review patient files and supporting documentation to validate bill accuracy before final invoicing.
•  Liaise with clinical, nursing, pharmacy, laboratory, radiology, and other departments to clarify and resolve billing queries.
•  Ensure all services rendered are captured accurately to minimize revenue leakage.
•  Perform pre-discharge and post-discharge billing audits as required.
•  Prepare and maintain audit reports, discrepancy logs, and other billing audit documentation.
•  Monitor billing trends and identify recurring issues, recommending corrective and preventive actions.
•  Support internal and external audits by providing required documentation and information.
•  Ensure compliance with hospital policies, financial controls, regulatory requirements, and insurance guidelines.
•  Assist in reviewing and improving billing processes to enhance efficiency and accuracy.
•  Escalate significant billing discrepancies or compliance concerns to the Finance Lead.
•  Perform any other duties assigned by the Finance Lead in line with the requirements of the role.