EXL

We make sense of data to drive your business forward. #MakeSenseofData #DriveYourBusinessForward #PartnerYourWay

Hospital Bill Auditor III

AuditorAuditorFull TimeRemoteTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$70K - $85K / year

Associate Degree5 yrs expEnglish

Job Description

• Review medical records to verify services were provided as billed for Hospital Bill Audit reviews. • Identify overcharges, undercharges and unbundled items. • Identify unbundled items on the itemized bill specific to payer Unbundling Guidelines and provide references and rationale to support review findings. • Onsite Travel – Maintain timely communication with Audit Coordinator regarding scheduling, completion and submission of audits. Abide by the EXL Travel policy while making travel arrangements for onsite audits. • Scheduling Audits: Manage inventory and schedule audits timely by contacting the provider to schedule date and time to perform audits. • Report any problems in the audit process to Manager for resolution. • Comply with HIPAA and other regulations regarding the confidentiality of patient information. • Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

Job Requirements

  • Minimum of 5+ years of acute care clinical experience in medical/surgical units
  • Licensed Nurse with current active license
  • Minimum 3+ years hospital bill auditing experience on high dollar claims paid at percent of billed charge, payer or provider side
  • CPC, CCS or CMAS desired
  • Excel proficiency
  • Familiarity with basic data entry tasks
  • Excellent interpersonal and communication skills
  • Demonstrate ability to prioritize tasks and work independently

Benefits

  • For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits

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