EXL · 10 hours ago
Healthcare Audit Operations Specialist
Pittsburgh, PA
Full-time
Onsite
New Grad, Entry Level
$40K/yr - $45K/yrEXL Health is seeking an Audit Coordinator II to join their team in Pittsburgh, PA. In this role, you will serve as the primary point of contact for a client-specific POD, managing inquiries related to medical record submissions, audit statuses, disputes, and clinical support throughout the audit lifecycle.
AnalyticsBankingOutsourcing
Responsibilities
Answer any POD inquiries via phone call and email within established TATs
Coordinate responses with Operations Areas as needed
Monitor and respond to email correspondence, both internal and external
Prepare and review internal reports
Interact with internal staff, Providers and POD Teams
Ensure all audit issues are documented in the applicable program
Escalate issues to management and handle Follow Up action as needed
Review and process files received in exception folders
Provide back-up scanning assistance to correspondence emailing as needed
Provide back-up 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
Qualification
Required
High School Diploma or equivalent required
Previous customer service or call center experience
Proficient with Microsoft Office e.g., Excel, Word, and Outlook
Highly organized, detail oriented and solid problem-solving skills
Able to make recommendations to improve and streamline processes to make more efficient
Ability to positively and comfortably manage 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
Strong written and verbal communication skills
Preferred
Associate degree or relevant certification is a plus
Company
EXL
EXL is a provider of Transformation and Outsourcing services to Global 1000 companies in multiple industries
Founded in 1999
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$150MKey Investors
The Orogen GroupFTV Capital
2018-10-02Post Ipo Debt· $150M
2006-10-20IPO
2004-12-01Series Unknown
Leadership Team
Rohit Kapoor
Chairman & Chief Executive Officer
Brad Burdick
SVP, Insurance Domain Platforms
Recent News
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