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EXL (NASDAQ: EXLS) is a global analytics and digital solutions company that partners with clients to improve business outcomes and unlock growth. Bringing together deep domain expertise with robust data, powerful analytics, cloud, and AI, we create agile, scalable solutions and execute complex operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media, and retail, among others. Focused on creating value from data for driving faster decision-making and transforming operating models, EXL was founded on the core values of innovation, collaboration, excellence, integrity and respect. Headquartered in New York, our team is over 40,000 strong, with more than 50 offices spanning six continents. For information, visit www.exlservice.com.
For the past 20 years, EXL has worked as a strategic partner and won awards in its approach to helping its clients solve business challenges such as digital transformation, improving customer experience, streamlining business operations, taking products to market faster, improving corporate finance, building models to become compliant more quickly with new regulations, turning volumes of data into business opportunities, creating new channels for growth and better adapting to change. The business operates within four business units: Insurance, Health, Analytics, and Emerging businesses.
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.
EXL has a Clinical Audit Coordinator Internship available. This is a remote role within the US.
Are you ready to apply and develop what you have learned with a global industry leader? EXL’sAudit Coordinator Intern is responsible for handling calls/correspondence from providers regarding medical record issues, including submission of medical records, audit status, audit disputes, and general clinical guidance and support needed to complete the audit process. As part of the Clinical Audit support team, you will be responsible for repricing audits with partial findings, sending external appeals to Client, medical record invoicing set up, assisting with locating medical records, and providing monthly reports to the Client. Additional duties in various clinical programs will be assigned as individual progress warrants and business needs justify.
Responsibilities:
- Answer Provider phone calls, request missing documentation, log, and return voicemail.
- Monitor and respond to email correspondence, both internal and external
- Setup and prepare invoices for payment.
- Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate client leader, and following up with clients, when appropriate
- Become familiar with client reports and internal reports and assist in their preparation.
- 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 Follow Up action as needed.
- Review and process files received in the appeal exception folder.
- 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.
- Currently pursuing a 4-year degree in an applicable field. Professional coding certification is a plus.
- Previous customer service or call center experience preferred.
- Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook.
- Strong written and verbal communication skills
- 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
- Basic knowledge of medical claims with prior coding or medical claims training preferred.
- 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 set the stage for further growth and development in our company and beyond.
To view our total rewards offered click here — > https://www.exlservice.com/us-careers-and-benefits
Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits.
Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy.
Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).
EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.
