We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay
Hospital Bill Auditor III (HBA)
Location
United States
Posted
9 days ago
Salary
$70K - $80K / year
No structured requirement data.
Job Description
The Nurse Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.
Itemized Bill Review knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. The position requires strong clinical experience and technical skills.
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.
Related Guides
Related Categories
Related Job Pages
More Auditor Jobs
Internal Auditor
TEKsystemsWe're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
The Internal Auditor performs assigned internal audit procedures, assisting in planning and executing operational, financial, and compliance audits to ensure adherence to policies and regulatory requirements. This role involves fieldwork, drawing conclusions on internal controls, documenting issues, and validating management's remediation activities.
Safety and Health Auditor
3MHere, we innovate with purpose & use science every day to create real impact in every life around the world. #LifeWith3M
Safety and Health Auditor responsible for conducting compliance audits at 3M
Environmental Auditor
3MHere, we innovate with purpose & use science every day to create real impact in every life around the world. #LifeWith3M
Environmental Auditor assessing compliance in U.S. operations for 3M
Inspectors are responsible for scheduling and traveling to conduct audits and inspections, primarily at commercial locations, using a mobile application to document findings. This includes identifying equipment via serial numbers, photographing assets and damage, and submitting timely reports to meet client expectations.
