About The Position

EXL Health is looking for a dedicated Audit Coordinator - Inbound/Outbound Calls Representative to join their dynamic Post-Audit Team. This is a fully remote opportunity available anywhere in the U.S. The role involves being a trusted liaison for providers, helping them navigate processes, resolve issues, and improve their experience. EXL Health prioritizes professional development and career advancement.

Requirements

  • High School Diploma
  • Prior customer service or high-volume call center experience required
  • 1-year minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
  • Strong verbal and written communication skills
  • Exceptional organizational and multitasking abilities
  • Proficiency in Microsoft Office (Excel and Outlook)
  • Able to make recommendations to improve and streamline processes to make more efficient
  • High level of integrity and confidentiality
  • Comfortable working in a high-volume, fast-paced environment with various software programs

Nice To Haves

  • Associate degree or relevant certification is a plus

Responsibilities

  • Handle inbound provider calls, log details, and resolve issues with efficiency and professionalism
  • Monitor and respond to internal and external emails within established service levels
  • Mailbox management; assign emails, monitor aging emails, create reports for management
  • Log and return voicemails within established service levels
  • Make outbound calls to assist providers with portal navigation, verify contact details, and confirm receipt of request letters
  • Escalate unresolved issues to management and follow up as needed
  • Communicate and report any workflow or system issues to leadership
  • Consistently meet quality and productivity standards
  • Uphold HIPAA and confidentiality regulations in all interactions
  • Other duties as assigned to support the post audit process and/or company-wide programs

Benefits

  • Comprehensive Training
  • Mentorship Program
  • Career Development
  • Innovative Environment
  • A chance to work for a Best Places to Work organization recognized for its commitment to employees
  • Exposure to world-class healthcare consultants and hands-on experience in a dynamic industry
  • The flexibility of remote work paired with the excitement of a fast-paced, rewarding career
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