[Hiring] Itemized Bill Review Auditor III @EXL

Role Description

The Itemized Bill Review Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges, and unbundled items per carrier contract, industry standards, and payer reimbursement policies.

• Hospital Bill Audit knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards, and Medicare Guidelines.
• The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location.
• The position requires strong clinical experience and technical skills.

Salary range: $70,000 - $90,000

• 0-10% travel may be required.

For more information on benefits and what we offer please visit us at EXL Careers and Benefits .

Qualifications

• Strong clinical experience.
• Technical skills related to hospital billing and auditing.

Requirements

• Knowledge of Unbundling Guidelines specific to payer policy.
• Ability to conduct charge audits effectively.
• Flexibility for independent scheduling and possible travel.

Benefits

• Comprehensive benefits package (details available on the website).