Audit Coordinator II - Post Audit

The Audit Coordinator II is responsible for sending provider letters, moving the audits through the audit workflow system (EXL Mine), generating and submitting finding files, invoices and making outbound collection calls to the providers within the established timeframes. The Audit Coordinator II is also responsible for monitoring workflows and process management by assisting with training and management of training materials.

Base Pay Range: $22 - $24/hr

For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.

EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL's Human Resources team, as well as our hiring managers.

Required:

• Associate degree or relevant certification is a plus
• Minium of 1 year of experience in a call center or customer service environment required
• Experience in handing incoming and outbound calls and documenting outcomes accurately.
• Revenue Cycle experience - knowledge of billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statements.
• 1 years' minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
• Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
• Highly organized, detail oriented and solid problem-solving skills
• Strong communication, including writing, speaking and active listening
• Able to make recommendations to improve and streamline processes to make more efficient
• Ability to positively and comfortably handle and prioritize multiple tasks in a fast-paced environment with focused attention to detail
• High level of integrity and confidentiality
• Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.

Responsibilities:

• Make outbound collection calls to providers within the required timeframe.
• Document all call activity, follow up activity accurately in EXL Mine.
• Perform quality review of client letters, ensuring accuracy of format, spelling and grammar.
• Generating and submitting Finding Files to the client timely and accurately.
• Assist with onboarding new hires and Facilitate training sessions
• Ensure completed audits are invoice timely and accurately.
• Ensure training materials are kept up to date to address requirements as they evolve over time
• Ensure that all invoicing for medical records, itemized bills and audit fees is handled and processed timely and accurately.
• Assist with troubleshooting common workflow and/or process issues and follow up to ensure resolution.
• Prepare client and internal reports and any ad hoc requests from Manager.
• Work with internal departments to resolve invoicing issues.
• Assist with the implementation of new workflows and process development
• Ensure claims are moving through the workflow accordingly and are processed within the established timeframes.
• Review inventory for accuracy and update workflow status as needed.
• Responds to accounting or billing inquiries from providers.
• Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate POD manager.
• Interact with internal staff and client to re-price audits with validation/audit findings.
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Escalate issues to management and handle for Follow Up action as needed.
• Participate in external operational conference calls with the client (where applicable).
• Provide assistance to other Audit Coordinators as needed.
• Comply with HIPAA and other regulations regarding confidentiality of information.
• Other duties as assigned to support the audit process and/or company-wide programs.

Responsibilities:

• Make outbound collection calls to providers within the required timeframe.
• Document all call activity, follow up activity accurately in EXL Mine.
• Perform quality review of client letters, ensuring accuracy of format, spelling and grammar.
• Generating and submitting Finding Files to the client timely and accurately.
• Assist with onboarding new hires and Facilitate training sessions
• Ensure completed audits are invoice timely and accurately.
• Ensure training materials are kept up to date to address requirements as they evolve over time
• Ensure that all invoicing for medical records, itemized bills and audit fees is handled and processed timely and accurately.
• Assist with troubleshooting common workflow and/or process issues and follow up to ensure resolution.
• Prepare client and internal reports and any ad hoc requests from Manager.
• Work with internal departments to resolve invoicing issues.
• Assist with the implementation of new workflows and process development
• Ensure claims are moving through the workflow accordingly and are processed within the established timeframes.
• Review inventory for accuracy and update workflow status as needed.
• Responds to accounting or billing inquiries from providers.
• Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate POD manager.
• Interact with internal staff and client to re-price audits with validation/audit findings.
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Escalate issues to management and handle for Follow Up action as needed.
• Participate in external operational conference calls with the client (where applicable).
• Provide assistance to other Audit Coordinators as needed.
• Comply with HIPAA and other regulations regarding confidentiality of information.
• Other duties as assigned to support the audit process and/or company-wide programs.