Audit Coordinator II - Post Audit, Healthcare

Post Audit - Audit Coordinator II – Post Audit  

The Audit Coordinator II - Collections/Invoicing supports all post audit functions by ensuring accuracy of invoices, audit fees, collections and revenue cycle processes.  The Audit Coordinator II is responsible for, sending provider letters, moving the audits through the audit workflow system (EXLmine) generating and submitting finding files and invoices to the clients. The Audit Coordinator II is also responsible for workflow, inventory and process management by assisting with training and management of training materials.

Responsibilities:

• Perform quality review of client letters, ensuring accuracy of format, spelling and grammar.
• Generating and submitting Finding Files to the client timely and accurately.
• Workflow inventory management.
• Assist with onboarding new hires and Facilitate training sessions
• Ensure completed audits are invoiced timely and accurately.
• Ensure training materials are kept up to date to address requirements as they evolve over time
• Ensure that all invoicing for medical records, itemized bills and audit fees is handled and processed timely and accurately.
• Assist with troubleshooting common workflow and/or process issues and follow up to ensure resolution.
• Prepare client and internal reports and any ad hoc requests from Manager.
• Work with internal departments to resolve invoicing issues.
• Assist with the implementation of new workflows and process development
• Responds to accounting or billing inquiries from providers.
• Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate POD manager.
• Interact with internal staff and client to re-price audits with validation/audit findings.
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Escalate issues to management and handle for Follow Up action as needed.
• Participate in external operational conference calls with the client (where applicable).
• Provide 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.

Required:

• Associate degree or relevant certification is a plus
• Revenue Cycle experience - knowledge of billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statements.
• 1 years’ minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
• Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
• Highly organized, detail oriented and solid problem-solving skills
• Strong communication, including writing, speaking and active listening
• 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.

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.