Auditor II – Data Mining

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $18 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

💰 $2M Venture Round on 2015-01

Healthcare • Insurance • Logistics

EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.

📋 Description

• Review output of queries for overpayments • Follow Query Step-by-Step Documentation to validate overpayments • Utilize claims system(s), if available, to verify overpayments • Document overpayments/non-overpayments in production systems, articulating clear reasons for claims not overpaid • Meet quality and production standards • Record production tasks and time in the format outlined by Management • Communicate issues that may impede completion of assigned work to Management • Work with Management to resolve issues • Provide feedback to Management on areas of improvement

🎯 Requirements

• High School Diploma or Equivalent Required • College Degree or Equivalent Work Experience • Maintain OIG/GSA clearances • Attention to Detail • Excellent written and oral communication skills • Flexible during times of change; able to adjust to shifting priorities and timelines through analytical and problem solving capabilities • Must be able to learn, understand, and apply new technologies • Knowledge of CMS guidelines • Strong knowledge of HCPC, CPT and other coding methodologies • Spreadsheet, word processing, and database knowledge • Preferred: 1-2 Years’ Experience Auditor • Preferred: 1-2 Years’ Experience with Medical Claims Processing

🏖️ Benefits

• Benefits information provided at https://www.exlservice.com/us-careers-and-benefits • Work from home