The Audit Coordinator will handle inbound and outbound provider calls to resolve inquiries and manage documentation within established service levels. They are also responsible for monitoring email mailboxes, logging details, and escalating unresolved issues to management while maintaining HIPAA compliance.
Requirements overview
Candidates must have a high school diploma and at least one year of experience as a Claims Analyst or Claims Auditor in a managed care setting. Proficiency in Microsoft Office and strong verbal and written communication skills are required for this role.
Choosing a digital partner is about more than capabilities — it’s about collaboration and character.
Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments.
At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations.
Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale.
Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact.
We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition.
At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward.
For more information, visit www.exlservice.com.
HealthcareCustomer Service & SupportFinance & AccountingAdministrative
Description
EXL Health is looking for dedicated Audit Coordinator - Inbound/Outbound Calls
Representative to join our dynamic Post-Audit Team. This fully remote
opportunity lets you make an impact from anywhere in the U.S.!
*Base Pay Range: $15 - $21/hr
For more information on benefits and what we offer please visit us at
https://www.exlservice.com/us-careers-and-benefits
Why You’ll Love This Role:
* Work From Anywhere: Enjoy the flexibility of remote work while contributing
to a fast-paced, collaborative team.
* Provider Advocate: Be the trusted liaison for providers, helping them
navigate processes, resolve issues, and improve their experience.
* Growth-Oriented Culture: EXL Health prioritizes your professional development
and career advancement.
RESPONSIBILITIES
As an Audit Coordinator - Inbound/Outbound Calls Representative, you’ll play a
critical role in ensuring smooth communication and effective resolution of
provider inquiries:
* Handle inbound provider calls, log details, and resolve issues with
efficiency and professionalism
* Monitor and respond to internal and external emails within established
service levels
* Mailbox management; assign emails, monitor aging emails, create reports for
management
* Log and return voicemails within established service levels
* Make outbound calls to assist providers with portal navigation, verify
contact details, and confirm receipt of request letters
* Escalate unresolved issues to management and follow up as needed
* Communicate and report any workflow or system issues to leadership
* Consistently meet quality and productivity standards
* Uphold HIPAA and confidentiality regulations in all interactions
* Other duties as assigned to support the post audit process and/or
company-wide programs
QUALIFICATIONS
Education:
* High School Diploma - Associate degree or relevant certification is a plus
Experience:
* Prior customer service or high-volume call center experience required
* 1-year minimum experience working as a Claims Analyst or Claims Auditor in a
managed care setting (hospital, health plan or physician office)
Skills:
* Strong verbal and written communication skills
* Exceptional organizational and multitasking abilities
* Proficiency in Microsoft Office (Excel and Outlook)
* Able to make recommendations to improve and streamline processes to make more
efficient
* High level of integrity and confidentiality
* Comfortable working in a high-volume, fast-paced environment with various
software programs
Why Join EXL Health?
At EXL Health, your role is more than just a job—it’s an opportunity to grow,
learn, and make an impact.
* Comprehensive Training: Gain in-depth knowledge of provider relations and
healthcare operations
* Mentorship Program: Benefit from guidance and coaching through our senior
mentorship initiative
* Career Development: EXL Health offers unlimited growth opportunities within
the company and beyond
* Innovative Environment: Collaborate with a team of sharp, entrepreneurial
professionals eager to transform healthcare
What’s in It for You?
* A chance to work for a Best Places to Work organization recognized for its
commitment to employees
* Exposure to world-class healthcare consultants and hands-on experience in a
dynamic industry
* The flexibility of remote work paired with the excitement of a fast-paced,
rewarding career
Ready to Be the Connection Providers Count On?
Take the next step in your career by joining EXL Health as an Audit Coordinator
- Inbound/ Outbound Calls Representative. Apply today and help shape the future
of post audit!
*The posted base salary range is the hiring base salary range for this role.
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
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 www.exlservice.com
[http://www.exlservice.com/].
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.
EXL is the indispensable partner for leading businesses in data-led industries
such as insurance, banking and financial services, healthcare, retail and
logistics. We bring a unique combination of data, advanced analytics, digital
technology and industry expertise to help our clients turn data into insights,
streamline operations, improve customer experience, and transform their
business. Our partnerships with clients are built on a foundation of
collaboration – and we’ve been chosen as a partner by nine of the top ten
leading US insurance companies, nine of the top 20 global banks, and six of the
top ten US health care payers. We function as one team to make your goals our
goals, whether that’s unlocking the value of generative AI or embedding
analytics into workflows that reduce risk or power your growth. Clients choose
EXL as their transformation partner for many reasons. Our geographic diversity
make talent all over the world instantly accessible. Digital accelerators enable
unmatched speed-to-value, letting you realize results fast. It’s our people that
truly set us apart, though, including the 1,500 data scientists we have
dedicated to our generative AI practice. And our more than twenty years of
experience in delivering business services, garnering stellar client references,
and maintaining a solid balance sheet are reassuring to our C-suite clients.
Find out for yourself why clients, employees, and analysts think we’re some of
the best in the business. Contact us to see how we can help you achieve your
goals.
Requirements
•Customer service
•Call center
•Claims analysis
•Claims auditing
•Managed care
•Communication
•Organizational skills
•Multitasking
•Microsoft Office
•Excel
•Outlook
•Problem solving
•HIPAA compliance
•Data entry
•Professionalism
Benefits
•Comprehensive training
•Mentorship program
•Career development
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