Behavioral Health Auditor III

EXLUnited States,
Remote

About The Position

We’re looking for a Behavioral Health Auditor III to join us in a fully remote role. In this position, you’ll use your knowledge of payer policies, industry standards, and regulatory guidelines to review and audit Behavioral Health claims. Your work will directly impact the integrity of healthcare payments and help ensure accurate, compliant practices across the industry. This isn’t just auditing—it’s about bringing insight, spotting trends, and helping shape the future of Behavioral Health payment integrity.

Requirements

  • Knowledge of payer policies.
  • Knowledge of industry standards.
  • Knowledge of regulatory guidelines.

Responsibilities

  • Review and audit Behavioral Health claims using knowledge of payer policies, industry standards, and regulatory guidelines.
  • Impact the integrity of healthcare payments.
  • Ensure accurate, compliant practices across the industry.
  • Bring insight and spot trends in Behavioral Health payment integrity.

Benefits

  • 100% Remote (U.S.-based) role
  • Up to 10% annual travel (for team meetings and limited client onsite engagements.)
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