The Audit Coordinator I supports post-audit operations by verifying the accuracy of audit invoices, itemized bills, and fees. Responsibilities include communicating with providers by phone and letter, advancing audits through the EXL mine workflow system, and generating and submitting finding files and invoices to clients.
- Base Pay Range: $40,000 - $45,000
For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits
Why You'll Love This Role:
- Work From Anywhere: Enjoy the flexibility of remote work while contributing to a fast-paced, collaborative team.
- Provider Advocate: Be the trusted liaison for providers, helping them navigate processes, resolve issues, and improve their experience.
- Growth-Oriented Culture: EXL Health prioritizes your professional development and career advancement.
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.
- High school diploma; an associate degree or relevant certification is preferred.
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
- At least one year of experience as a Claims Analyst or Claims Auditor in a managed care setting, such as a hospital, health plan, or physician office.
- Strong organizational skills, attention to detail, and problem-solving ability.
- Ability to recommend process improvements that increase efficiency and streamline workflows.
- Ability to prioritize and manage multiple tasks in a fast-paced environment while maintaining close attention to detail.
- High degree of integrity and commitment to confidentiality.
- Strong time-management, prioritization, and multitasking skills.
- Basic knowledge of medical claims.
- Prior experience or training in coding or medical claims.
- Strong written and verbal communication skills.
Why Join EXL Health?
At EXL Health, your role is more than just a job-it's an opportunity to grow, learn, and make an impact.
- Comprehensive Training: Gain in-depth knowledge of provider relations and healthcare operations
- Mentorship Program: Benefit from guidance and coaching through our senior mentorship initiative
- Career Development: EXL Health offers unlimited growth opportunities within the company and beyond
- Innovative Environment: Collaborate with a team of sharp, entrepreneurial professionals eager to transform healthcare
What's in It for You?
- A chance to work for a Best Places to Work organization recognized for its commitment to employees
- Exposure to world-class healthcare consultants and hands-on experience in a dynamic industry
- The flexibility of remote work paired with the excitement of a fast-paced, rewarding career
Ready to Be the Connection Providers Count On?
Take the next step in your career by joining EXL Health as a Post Audit Coordinator I Apply today and help shape the future of post audit!
- The posted base salary range is the hiring base salary range for this role. 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
As a Post Audit Coordinator I , you'll play a critical role in ensuring smooth communication and effective resolution of provider inquiries:
- Review client letters for correct formatting, spelling, and grammar.
- Generate and submit finding files to clients accurately and on time.
- Ensure completed audits are invoiced accurately and on time.
- Process invoices for medical records, itemized bills, and audit fees accurately and on time.
- Prepare reports and fulfill ad hoc requests from the manager.
- Manage group email inboxes.
- Manage provider collections.
- Collaborate with internal departments to resolve invoicing and collection issues.
- Respond to provider accounting and billing inquiries.
- Serve as a liaison for internal and external clients by screening calls, directing communications to the appropriate client leader, and following up as needed.
- Develop familiarity with client and internal reports and assist with their preparation.
- Work with internal staff and clients to reprice audits based on validation or audit findings.
- Participate in external operational conference calls with clients, when applicable.
- Document all audit issues in the applicable audit system.
- Escalate issues to management and complete follow-up actions as needed.
- Provide backup support to other Audit Coordinators as needed.
- Provide backup assistance with scanning and correspondence emails as needed.
- Comply with HIPAA and all other information-confidentiality regulations.
- Perform other duties as assigned to support audit operations or company-wide programs.
- High school diploma; an associate degree or relevant certification is preferred.
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
- At least one year of experience as a Claims Analyst or Claims Auditor in a managed care setting, such as a hospital, health plan, or physician office.
- Strong organizational skills, attention to detail, and problem-solving ability.
- Ability to recommend process improvements that increase efficiency and streamline workflows.
- Ability to prioritize and manage multiple tasks in a fast-paced environment while maintaining close attention to detail.
- High degree of integrity and commitment to confidentiality.
- Strong time-management, prioritization, and multitasking skills.
- Basic knowledge of medical claims.
- Prior experience or training in coding or medical claims.
- Strong written and verbal communication skills.
As a Post Audit Coordinator I , you'll play a critical role in ensuring smooth communication and effective resolution of provider inquiries:
- Review client letters for correct formatting, spelling, and grammar.
- Generate and submit finding files to clients accurately and on time.
- Ensure completed audits are invoiced accurately and on time.
- Process invoices for medical records, itemized bills, and audit fees accurately and on time.
- Prepare reports and fulfill ad hoc requests from the manager.
- Manage group email inboxes.
- Manage provider collections.
- Collaborate with internal departments to resolve invoicing and collection issues.
- Respond to provider accounting and billing inquiries.
- Serve as a liaison for internal and external clients by screening calls, directing communications to the appropriate client leader, and following up as needed.
- Develop familiarity with client and internal reports and assist with their preparation.
- Work with internal staff and clients to reprice audits based on validation or audit findings.
- Participate in external operational conference calls with clients, when applicable.
- Document all audit issues in the applicable audit system.
- Escalate issues to management and complete follow-up actions as needed.
- Provide backup support to other Audit Coordinators as needed.
- Provide backup assistance with scanning and correspondence emails as needed.
- Comply with HIPAA and all other information-confidentiality regulations.
- Perform other duties as assigned to support audit operations or company-wide programs.
- High school diploma; an associate degree or relevant certification is preferred.
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
- At least one year of experience as a Claims Analyst or Claims Auditor in a managed care setting, such as a hospital, health plan, or physician office.
- Strong organizational skills, attention to detail, and problem-solving ability.
- Ability to recommend process improvements that increase efficiency and streamline workflows.
- Ability to prioritize and manage multiple tasks in a fast-paced environment while maintaining close attention to detail.
- High degree of integrity and commitment to confidentiality.
- Strong time-management, prioritization, and multitasking skills.
- Basic knowledge of medical claims.
- Prior experience or training in coding or medical claims.
- Strong written and verbal communication skills.