[Hiring] Post Audit Coordinator I @EXL

Role Description

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
• Generating and submitting finding files and invoices to clients

Qualifications

• 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

Requirements

• 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

Benefits

• 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
• 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