EXL Health · 21 hours ago
Pre Audit Coordinator II
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Responsibilities
Take escalation inbound calls from Tier 1 Team, logging each call in the system and taking the necessary steps to resolve
Monitor and respond to email correspondence, both internal and external.
Escalate issues to management or other internal Teams as needed for follow-up action
Access payer systems to research refund questions
Log voicemail in system and return calls according to service level
Make outbound calls to Providers to assist with using our Portal, verify address, contact info and confirm receipt of EXL Request letters
Monitor and respond to “Chats” from Providers
Responsible for communication and reporting of any system or workflow issues to the appropriate Leadership or Team Members
Meet quality and productivity standards as indicated by service level
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
Previous high volume customer service or call center experience
Previous medical claims or claim payment experience
Education: High school diploma or equivalent
Demonstrates the ability to work in an organized, efficient and process-oriented manner
Strong oral and written communication skills and the ability to problem solve
Excellent customer service skills
Ability to transition from one task to another, while maintaining attention to detail
Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.
Proficient in Microsoft Office, emphasis with Excel and Outlook
Comfortable working in a high-volume, fast-paced environment either with a team or individually
Comfortable using various types of software programs
Preferred
Prior Healthcare experience a plus
Benefits
Paid Time Off policy