Workflow Liaison

Audit Coordinator-Post Audit

EXL Health is seeking an Audit Coordinator II POD single point of contact to join our team in Pittsburgh, PA. In this key role, you will serve as the primary point of contact for a client-specific POD, managing inquiries related to medical record submissions, audit statuses, disputes, and clinical support throughout the audit lifecycle. You will collaborate with various internal teamsincluding Medical Records Management, Clinical, Provider Relations, and Post Auditto ensure timely and accurate resolution of all outstanding issues. This position requires strong communication skills, attention to detail, and a comprehensive understanding of the audit process.

Responsibilities

• Answer any POD inquiries via phone call and email within established TATs.
• Coordinate responses with Operations Areas as needed.
• Monitor and respond to email correspondence, both internal and external.
• Prepare and review internal reports.
• Interact with internal staff, Providers and POD Teams.
• Ensure all audit issues are documented in the applicable program.
• Escalate issues to management and handle Follow Up action as needed.
• Review and process files received in exception folders.
• Provide back-up scanning assistance to correspondence emailing as needed.
• Provide back-up assistance to other Audit Coordinators as needed.
• Comply with HIPAA and other regulations regarding confidentiality of information.
• Other duties as assigned to support the audit process and/or company-wide programs.

Qualifications

Minimum Requirements

• High School Diploma or equivalent required
• Previous customer service or call center experience
• Proficient with Microsoft Office e.g., Excel, Word, and Outlook

Preferred Requirements

• Associate degree or relevant certification is a plus.

Professional Requirements

• Highly organized, detail oriented and solid problem-solving skills
• Able to make recommendations to improve and streamline processes to make more efficient
• Ability to positively and comfortably manage and prioritize multiple tasks in a fast-paced environment with focused attention to detail.
• High level of integrity and confidentiality
• Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.
• Strong written and verbal communication skills

Base Pay Range: $38,400 - $54,900*

For more information on benefits and what we offer please visit us at

EXL Health offers an exciting, fast paced, and innovative environment, which brings together a group of sharp and entrepreneurial professionals who are eager to influence business decisions.

From your very first day, you get an opportunity to work closely with highly experienced, world-class Healthcare consultants.

You can expect to learn about many aspects of businesses that our clients engage in. You will also learn effective teamwork and time management skills - key aspects for personal and professional growth.

We provide guidance/ coaching to every employee through our mentoring program where in every junior level employee is assigned a senior level professional as advisors.

Sky is the limit for our team members. The unique experiences gathered at EXL Health sets the stage for further growth and development in our company and beyond.

*The posted range is the hiring range for this role a subset of the broader range available to employees over time and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.

Required Skills

• Customer Issue Resolution

About Us

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL will only extend a job offer after a candidate has gone through a formal interview process with members of EXL's Human Resources team, as well as our hiring managers.