EXL
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.
Behavioral Health Auditor III
🕒 July 9
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EXL
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
• Audit and review Behavioral Health claims to identify potential errors. • Analyze data against payer policies, procedures, and regulatory requirements. • Document findings clearly and professionally to support next steps. • Recommend claim adjustments or recoveries when necessary. • Collaborate with cross-functional teams to solve problems and drive improvements. • Stay ahead of the curve on regulations, laws, and industry standards. • Track and report audit findings, spotting trends and opportunities. • Share your expert knowledge to guide teams on Behavioral Health payment integrity issues. • Meet EXL’s productivity and quality goals while maintaining compliance with HIPAA and other regulations.
🎯 Requirements
• Education: Bachelor’s degree in healthcare administration, business, finance, or a related field. • Experience: 3+ years in Behavioral Health services (mental health and substance use disorder treatment). • Credentials (Preferred): CCS, RHIA, RHIT, CPC, RN, MSW – bonus points if you have multiple! • Expertise: Strong understanding of Behavioral Health standards, payer policies, and regulations. • Bonus: Experience in Behavioral Health retrospective overpayment auditing. • Ability to work independently in a fully remote environment. • Strong time management and prioritization skills. • A problem-solving mindset and ownership of results. • Excellent communication skills (both written and verbal). • Sharp analytical skills and great attention to detail. • Proficiency in Microsoft Excel, Word, and OneNote.
🏖️ Benefits
• Up to 10% annual travel (for team meetings and limited client onsite engagements.) • Professional development opportunities
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