Audit Coordinator I

Company Overview and Culture

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

EXL is hiring a Post Audit - Audit Coordinator I. This is a full-time, work from home position.

The Audit Coordinator I supports all post audit functions by ensuring accuracy of audit invoices, itemized bills, and audit fees. The Audit Coordinator I is responsible for handling calls to and from providers, sending letters to the provider, moving the audits through the audit workflow system (EXL mine) generating and submitting finding files and invoices to the clients.

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 invoiced 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.
• Respond 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.

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