Post Audit Coordinator I

EXL • United States,

2d • $40,000 - $45,000 • Remote

About The Position

The Post Audit Coordinator I supports post-audit operations by verifying the accuracy of audit invoices, itemized bills, and fees. The role communicates with providers by phone and letter, advances audits through the EXL mine workflow system, and generates and submits finding files and invoices to clients. It also supports provider inquiries and collections, resolves invoicing issues with internal departments, and helps ensure audit work is documented and completed accurately and on time.

This is a remote role that works with providers, clients, and internal teams in a fast-paced environment. The coordinator complies with HIPAA and other information-confidentiality regulations, escalates issues to management when needed, and provides backup support to other coordinators and audit operations. EXL describes its culture as focused on training, mentorship, professional development, and career growth.

Requirements

• High school diploma.
• Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
• At least one year of experience as a Claims Analyst or Claims Auditor in a managed care setting, such as a hospital, health plan, or physician office.
• Strong organizational skills, attention to detail, and problem-solving ability.
• Ability to recommend process improvements that increase efficiency and streamline workflows.
• Ability to prioritize and manage multiple tasks in a fast-paced environment while maintaining close attention to detail.
• High degree of integrity and commitment to confidentiality.
• Strong time-management, prioritization, and multitasking skills.
• Basic knowledge of medical claims.
• Prior experience or training in coding or medical claims.
• Strong written and verbal communication skills.

Nice To Haves

• An associate degree or relevant certification.

Responsibilities

• Review client letters for correct formatting, spelling, and grammar.
• Generate and submit finding files to clients accurately and on time.
• Ensure completed audits are invoiced accurately and on time.
• Process invoices for medical records, itemized bills, and audit fees accurately and on time.
• Prepare reports and fulfill ad hoc requests from the manager.
• Manage group email inboxes.
• Manage provider collections.
• Collaborate with internal departments to resolve invoicing and collection issues.
• Respond to provider accounting and billing inquiries.
• Serve as a liaison for internal and external clients by screening calls, directing communications to the appropriate client leader, and following up as needed.
• Develop familiarity with client and internal reports and assist with their preparation.
• Work with internal staff and clients to reprice audits based on validation or audit findings.
• Participate in external operational conference calls with clients, when applicable.
• Document all audit issues in the applicable audit system.
• Escalate issues to management and complete follow-up actions as needed.
• Provide backup support to other Audit Coordinators as needed.
• Provide backup assistance with scanning and correspondence emails as needed.
• Comply with HIPAA and all other information-confidentiality regulations.
• Perform other duties as assigned to support audit operations or company-wide programs.
• Communicate with providers by phone and letter and advance audits through the EXL mine workflow system.

Benefits

• Comprehensive training in provider relations and healthcare operations.
• Mentorship and coaching through a senior mentorship initiative.
• Career development and growth opportunities.
• Remote work flexibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED