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.

Join Our Team at EXL Health!

Why Choose EXL Health?

At EXL Health, we’re more than just a company, we’re a team committed to innovation and excellence in healthcare. From your first day, you’ll collaborate with talented professionals, sharpen your skills, and contribute to solutions that shape the future of healthcare.

Here’s what makes this role and our culture exciting:

• Dynamic and supportive environment: Work in a fast-paced, high-energy setting where your contributions matter.
• Endless learning opportunities: Gain firsthand experience in medical records management, workflow optimization, and team collaboration.
• Growth potential: EXL Health values your development with mentoring programs and pathways for advancement.
• Purpose-driven work: Join a mission that helps improve healthcare processes while safeguarding patient confidentiality.

Job Summary:
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 teams—including Medical Records Management, Clinical, Provider Relations, and Post Audit—to 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.

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

What You’ll Gain:

At EXL Health, we invest in our people with benefits and opportunities that make a difference:

• Professional Growth: Learn from industry leaders and develop your expertise in healthcare operations.
• Collaboration: Be part of a close-knit, supportive team that values your contributions.
• Work-Life Balance: Enjoy a consistent weekday schedule, leaving your evenings and weekends open.
• Recognition: Your efforts won’t go unnoticed, celebrate achievements, and foster a culture of appreciation.

Ready to Make a Difference?

If you’re enthusiastic about process improvement, healthcare, and being part of a team that’s shaping the future, this role is for you! Apply now and take the next step in your career with EXL Health.

EXL Health – Where Your Work Makes an Impact Every Day.