Behavioral Health Auditor III

We're looking for a Behavioral Health Auditor III to join us in a fully remote role. In this position, you'll use your knowledge of payer policies, industry standards, and regulatory guidelines to review and audit Behavioral Health claims. Your work will directly impact the integrity of healthcare payments and help ensure accurate, compliant practices across the industry.

This isn't just auditing-it's about bringing insight, spotting trends, and helping shape the future of Behavioral Health payment integrity.

Salary Range: $60,100 - $85,800*

Location: 100% Remote (U.S.-based)

Up to 10% annual travel (for team meetings and limited client onsite engagements.)

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.

What We're Looking For

• Education: Bachelor's degree in healthcare administration, business, finance, or a related field.
• Experience: 3+ years in Behavioral Health services (mental health and substance use disorder treatment).
• Credentials (Preferred): CCS, RHIA, RHIT, CPC, RN, MSW - bonus points if you have multiple!
• Expertise: Strong understanding of Behavioral Health standards, payer policies, and regulations.
• Bonus: Experience in Behavioral Health retrospective overpayment auditing.

What You Bring

• Ability to work independently in a fully remote environment.
• Strong time management and prioritization skills.
• A problem-solving mindset and ownership of results.
• Excellent communication skills (both written and verbal).
• Sharp analytical skills and great attention to detail.
• Proficiency in Microsoft Excel, Word, and OneNote.
• A passion for Behavioral Health auditing and a desire to thrive in a culture built on teamwork, collaboration, and excellence.

Why Join EXL?

At EXL, you'll be part of a supportive, inclusive team that values expertise, collaboration, and growth. We believe in empowering our people to succeed while making a real impact on healthcare.

If you're ready to bring your Behavioral Health expertise to a role that values accuracy, innovation, and teamwork, we'd love to hear from you!

• The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

What You'll Do

• Audit and review Behavioral Health claims to identify potential errors.
• Analyze data against payer policies, procedures, and regulatory requirements.
• Document findings clearly and professionally to support next steps.
• Recommend claim adjustments or recoveries when necessary.
• Collaborate with cross-functional teams to solve problems and drive improvements.
• Stay ahead of the curve on regulations, laws, and industry standards.
• Track and report audit findings, spotting trends and opportunities.
• Share your expert knowledge to guide teams on Behavioral Health payment integrity issues.
• Meet EXL's productivity and quality goals while maintaining compliance with HIPAA and other regulations.

What You'll Do

• Audit and review Behavioral Health claims to identify potential errors.
• Analyze data against payer policies, procedures, and regulatory requirements.
• Document findings clearly and professionally to support next steps.
• Recommend claim adjustments or recoveries when necessary.
• Collaborate with cross-functional teams to solve problems and drive improvements.
• Stay ahead of the curve on regulations, laws, and industry standards.
• Track and report audit findings, spotting trends and opportunities.
• Share your expert knowledge to guide teams on Behavioral Health payment integrity issues.
• Meet EXL's productivity and quality goals while maintaining compliance with HIPAA and other regulations.