Company Overview and Culture 

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 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

About EXL Health

We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem.  Technology, data and analytics are at the heart of our solutions.  We collaborate closely with clients to transform how care is delivered, managed and paid.  

EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid.  Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions.  With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.   

We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.

Audit Coordinator II – Medical Record Vendor AR Aging

The position of the medical record vendor AR aging audit coordinator II supports the MR invoice process with reconciling the Monthly Medical Record Vendors AR aging reports. Monthly reconciliation functions included but not limited to; ensuring all medical records fees are paid accurately and in accordance with Client SLA’s and vendor fee agreement per vendor, work with vendors to request missing MR Invoices, validate medical records are received and follow up with providers/vendors when medical record invoice payments processed, and no medical record received. Support Medical Record Invoice Team Manager with monthly medical record vendors AR aging reports, special projects and Ad Hoc request.

Responsibilities:

• Research vendor monthly aging statements and work with vendors on outstanding balances.
• Ensure that all invoicing for medical records and audit fees are handled and processed timely and accurately in accordance with agreed fee schedules.
• Become acclimated and knowledgeable of the terms and limitations for client invoicing policies/contracts.
• Validate medical records are received
• Follow up with providers/vendors when medical record invoice payments are processed, and no medical record received.
• Work with internal departments to resolve medical record invoicing and collection issues,
• Perform quality review of medical record invoices for accurate payment processing.
• Create vendor records for payment processing.
• Process payments include ACH, credit cards and paper checks and prepare remittance advices for transmission with vendor payment.
• Update master payment file with payment details.
• Responds to accounting or billing inquiries from providers for medical record invoices.
• Become familiar with client reports and internal reports and assist in their preparation.
• Prepare reports and any ad hoc requests from Manager.
• Manage group emails inbox and respond to inquiries in a timely manner.
• Monitor group phone line to resolve medical records inquiries
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Assist other Audit Coordinators in resolving phone and email inquiries.
• Escalate issues to management and handle Follow Up action 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 Medical Record Team Manager, audit process and/or company-wide programs.

Required:

• High School Diploma - Associate degree or relevant certification is a plus
• Solid knowledge of Microsoft Office is necessary, especially Excel, Word, and Outlook
• 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 handle 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.
• Basic knowledge of medical claims
• Strong written and verbal communication skills

What We Offer: 

• 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 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 wherein 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.
• Benefits we offer are Healthcare, Vision, Dental and 401k options.