EXL Health · 1 day ago
Audit Coordinator I, Post Audit - Healthcare
United States
Full-time
Remote
Entry Level
$40K/yr - $43K/yr
1+ years exp
Maximize your interview chancesHealth Care
Hiring Manager
Ashley Houde
Insider Connection @EXL Health
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Responsibilities
Perform quality review of client letters, ensuring accuracy of format, spelling and grammar.
Generating and submitting Finding Files to the client timely and accurately.
Ensure completed audits are invoice timely and accurately.
Ensure that all invoicing for medical records, itemized bills and audit fees are handled and processed timely and accurately.
Prepare reports and any ad hoc requests from Manager.
Manage group emails.
Provider collections
Work with internal departments to resolve invoicing and collection issues.
Responds to accounting or billing inquiries from providers.
Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate client leader and following up with clients, when appropriate.
Become familiar with client reports and internal reports and assist in their preparation.
Interact with internal staff and client to re-price audits with validation/audit findings.
Participate in external operational conference calls with the client (where applicable).
Ensure all audit issues are documented in the applicable audit program Audit System.
Escalate issues to management and handle for Follow Up action as needed.
Provide back-up assistance to other Audit Coordinators as needed.
Provide back-up scanning assistance to correspondence emailing 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
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Required
High School Diploma - Associate degree or relevant certification is a plus
Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
1 years’ minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
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 handle 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.
Basic knowledge of medical claims
Prior coding or medical claims experience or training
Strong written and verbal communication skills
Benefits
Paid Time Off policy
Mentoring program
Company
EXL Health
EXL Health specializes in providing hospital and healthcare services.
Founded in 1999New York, New York, USA
10,001+ employees
Funding
Current Stage
Late StageLeadership Team
Nayfe Faillace
VP Global Healthcare Compliance & Privacy
Mike Arian
Sr. AVP Sales, Healthcare
Company data provided by crunchbase
