Revenue Assurance Specialist

Role Overview The Revenue Assurance role is responsible for ensuring accuracy, completeness, and integrity of hospital revenue through internal audits and process controls. The role focuses on identifying revenue leakages, strengthening billing processes, ensuring compliance with policies, and supporting financial optimization across clinical and non-clinical departments.

Key Responsibilities

Conduct

regular internal audits

of billing processes across OPD, IPD, pharmacy, lab, and radiology to identify revenue leakages. Review patient bills, charge capture, and service utilization to ensure

all services are billed accurately and completely . Validate

package billing, discounts, approvals, and tariff adherence

as per hospital policies. Analyze

revenue gaps, under-billing, and missed charges , and recommend corrective actions. Perform

process audits and control checks

to strengthen billing accuracy and minimize financial risks. Coordinate with operations, billing, and clinical teams to

resolve discrepancies and improve processes . Monitor compliance with

insurance, TPA, and corporate billing guidelines . Track and report

key revenue metrics, audit findings, and recovery opportunities

to management. Support implementation of

standard operating procedures (SOPs)

and continuous improvement initiatives. Assist in

training teams on billing accuracy, documentation, and compliance requirements .