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  • Hillsborough County, FL, USA
    Req #1774
    Tuesday, October 19, 2021
    The Company: EXL Premium Audit, a leader in the field, can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. Responsibilities: The Premium Auditor will conduct insurance premium audits for Worker’s Compensation, Auto and General Liability policies. This is done by auditing policyholder’s records and applying rules and company standards. If you are look ... More
  • Baton Rouge, LA, USA
    Req #1773
    Tuesday, October 19, 2021
    The Company: EXL Premium Audit, a leader in the field, can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. Responsibilities: The Premium Auditor will conduct insurance premium audits for Worker’s Compensation, Auto and General Liability policies. This is done by auditing policyholder’s records and applying rules and company standards. If you are look ... More
  • Virtual
    Req #1483
    Tuesday, October 19, 2021
    EXL Health is seeking a Senior Manager - Data Analyst. This is work from home opportunity.  The Senior Data Analyst will support the business team in evaluating trends on utilization of products / services based on historical data - such as care management trends, claim utilization, member attributes, to develop cost effective quality product / services. The ideal candidate retrieves, organizes and performs research/analysis on Home Health data to identify root cause and is a proactive thinker, ... More
  • Virtual
    Req #1768
    Monday, October 18, 2021
    EXL Health is seeking a VP of Sales for our expanding Payer Mid-market and Blues sales team. The Hunter (VP of Sales) will be responsible to execute strategies for getting new logos/adding new clients to the portfolio as well as effectively manage existing client relationships at the appropriate level, facilitating delivery in the account set up stage. Also, Hunter is responsible for achieving the assigned annual revenue quota from new clients by actively managing the named accounts and managin ... More
  • Virtual
    Req #1769
    Monday, October 18, 2021
    EXL Health is seeking an SAVP of Sales for our expanding Payer Mid-market and Blues sales team. The Hunter (Senior Assistant Vice President of Sales) will be responsible to execute strategies for getting new logos/adding new clients to the portfolio as well as effectively manage existing client relationships at the appropriate level, facilitating delivery in the account set up stage. Also, Hunter is responsible for achieving the assigned annual revenue quota from new clients by actively managin ... More
  • 2400 Aviation Dr, DFW Airport, TX 75261, USA
    Req #1767
    Monday, October 18, 2021
    Senior Analytics Consultant – Marketing Campaign Analytics & Insights EXL (NASDAQ:EXLS) is a leading operations management and analytics company that helps businesses enhance growth and profitability in the face of relentless competition and continuous disruption. Using our proprietary, award-winning Business EXLerator Framework™, which integrates analytics, automation, benchmarking, BPO, consulting, industry best practices and technology platforms, we look deeper to help companies improve glo ... More
  • 2400 Aviation Dr, DFW Airport, TX 75261, USA
    Req #1766
    Monday, October 18, 2021
    Senior Analytics Consultant – Marketing Campaign Management EXL (NASDAQ:EXLS) is a leading operations management and analytics company that helps businesses enhance growth and profitability in the face of relentless competition and continuous disruption. Using our proprietary, award-winning Business EXLerator Framework™, which integrates analytics, automation, benchmarking, BPO, consulting, industry best practices and technology platforms, we look deeper to help companies improve global operat ... More
  • 2400 Aviation Dr, DFW Airport, TX 75261, USA
    Req #1765
    Monday, October 18, 2021
    Marketing Data Science -Analytics Manager EXL (NASDAQ:EXLS) is a leading operations management and analytics company that helps businesses enhance growth and profitability in the face of relentless competition and continuous disruption. Using our proprietary, award-winning Business EXLerator Framework™, which integrates analytics, automation, benchmarking, BPO, consulting, industry best practices and technology platforms, we look deeper to help companies improve global operations, enhance data ... More
  • 2400 Aviation Dr, DFW Airport, TX 75261, USA
    Req #1764
    Monday, October 18, 2021
    Analytics Consultant – Marketing Campaign Management EXL (NASDAQ:EXLS) is a leading operations management and analytics company that helps businesses enhance growth and profitability in the face of relentless competition and continuous disruption. Using our proprietary, award-winning Business EXLerator Framework™, which integrates analytics, automation, benchmarking, BPO, consulting, industry best practices and technology platforms, we look deeper to help companies improve global operations, e ... More
  • Virtual
    Req #1613
    Friday, October 15, 2021
    EXL Health is looking for an Auditor III - DRG Coding. This position is a home office opportunity.  The responsibilities of the DRG Coding Auditor is to perform DRG reviews by validating accuracy of the DRG or APR DRG code assignment completeness, POA, discharge status, etc. to ensure accurate payment by our clients. The coding auditor determines if a discrepancy exists in the coding and documents the findings using standard documentation guidelines applicable to the program. The audits can be d ... More
  • Virtual
    Req #1587
    Friday, October 15, 2021
    EXL Health is looking for a Pre Audit - Audit Coordinator I. The Audit Coordinator I is responsible for handling calls/correspondence from providers regarding medical record requests; as well as, sending record request letters via mail, fax and email to providers. The Pre-Audit team works with providers and internal teams to make sure that medical records are received timely and ready for audit. Responsibilities: Answer Provider phone calls, request missing documentation, log and return voicema ... More
  • Virtual
    Req #1496
    Friday, October 15, 2021
    EXL Health is looking for a Pre Audit - Audit Coordinator I. The Audit Coordinator I is responsible for handling calls/correspondence from providers regarding medical record requests; as well as, sending record request letters via mail, fax and email to providers. The Pre-Audit team works with providers and internal teams to make sure that medical records are received timely and ready for audit. Responsibilities: Answer Provider phone calls, request missing documentation, log and return voicem ... More
  • Virtual
    Req #1475
    Friday, October 15, 2021
    EXL Health is hiring an Auditor III – Home Health Job Summary: The Auditor III position is to assist Healthcare clients in controlling healthcare costs by performing audit reviews to determine if correct payments were made to providers. The Auditor will perform a clinical audit by evaluating the medical record against the services billed on the claim, the associated medical policies and utilization rules to determine the appropriateness of the services provided. The Auditor will ma ... More
  • Virtual
    Req #1427
    Friday, October 15, 2021
    EXL is hiring a Professional Coding SME. Responsibilities: The successful candidate will lead a team of coding auditors, reviewing selected professional claims for appropriate coding and reimbursement. Possess the coding skill set and experience to lead a team of experienced coders by demonstrating mastery of the coding guidelines, CPT classification systems, billing and reimbursement process and support tools. This candidate will possess a strong working k ... More
  • Virtual
    Req #1380
    Friday, October 15, 2021
    EXL Health is looking for an Auditor III – Outpatient Coding. This is a remote office opportunity.   The responsibilities of the Outpatient Coding Auditor are to perform reviews by validating accuracy of the coding billed in relation to the medical documentation.The coding auditor determines if a discrepancy exists in the coding and documents the findings using standard documentation guidelines applicable to the program. The audits may be performed as desk or as a facility onsite. ... More
  • Virtual
    Req #1239
    Friday, October 15, 2021
    EXL Health is looking for an Auditor III - Outpatient Coding.  This position is a home office opportunity.    The responsibilities of the Outpatient Coding Auditor are to perform reviews by validating accuracy of the coding billed in relation to the medical documentation.  The coding auditor determines if a discrepancy exists in the coding and documents the findings using standard documentation guidelines applicable to the program. The audits may be performed as desk or as a facil ... More
  • Virtual
    Req #1094
    Friday, October 15, 2021
    EXL is looking for an Auditor III – Short Stay. This is a home office opportunity. The Nurse Reviewer (Auditor) reviews medical records and performs the audit following the applicable program specific guidelines reports results exercising independent decision making and judgement using advanced knowledge on a regular basis. The auditor determines if a discrepancy exists and documents the findings using standard documentation guidelines applicable to the programs. The audits can be done a ... More
  • Columbus, OH, USA ● Pittsburgh, PA, USA ● Virtual
    Req #1039
    Friday, October 15, 2021
    EXL Health is looking for a Pre Audit - Audit Coordinator I. The Audit Coordinator I is responsible for handling calls/correspondence from providers regarding medical record requests; as well as, sending record request letters via mail, fax and email to providers. The Pre-Audit team works with providers and internal teams to make sure that medical records are received timely and ready for audit. Responsibilities: Answer Provider phone calls, request missing documen ... More
  • Virtual
    Req #1759
    Thursday, October 14, 2021
    Data Engineer - Healthcare Analytics The Data Engineer will be responsible for expanding and optimizing healthcare payer data, data pipeline architecture and data flow to enable analysis across several dimensionsResponsibilities: Create and maintain optimal data pipeline architecture Build the infrastructure for optimal extraction, transformation and loading data from a wide variety of data sources using big data technologies Build analytics tools that utilize the data pipeline to provide act ... More
  • Virtual
    Req #1750
    Thursday, October 14, 2021
    EXL Health is seeking an Analytics Consultant. This is a virtual, work from home role. Overview: Evolving the existing analytic services (both standard and non-standard), in order to meet quality and service objectives, while ensuring that all client deliverables are completed on-time and meet expectations. Continually ensuring that both internal and external reporting is within the prescribed levels of quality; more specifically, results are accurate, thoroughly tested, utilized by core techno ... More
  • Virtual
    Req #1761
    Thursday, October 14, 2021
    EXL Health is looking for a Quality Control Analyst for our Hospital Bill Audit / HBA program. Quality Control Hospital Bill Audits -- Job Description: The hospital bill audit quality control position conducts reviews of post pay hospital bill audits by performing quality control checks on audit results. The review includes an in-depth review of line item hospital bills in conjunction with payer reimbursement policies to review for contractual compliance along with billing discrepancies. Als ... More
  • New York, NY, USA
    Req #230
    Thursday, October 14, 2021
    EXL Analytics provides data-driven, action-oriented solutions to business problems through statistical data mining, cutting edge analytics techniques and a consultative approach. Leveraging proprietary methodology and best-of-breed technology, EXL Analytics takes an industry-specific approach to transform our clients’ decision making and embed analytics more deeply into their business processes. Our global footprint of nearly 2,000 data scientists and analysts assist client organizations with ... More
  • Virtual
    Req #1756
    Thursday, October 14, 2021
    EXL Health is looking for an Eligibility Coordinator for our Hospital Bill Audit / HBA program. The hospital bill audit Eligibility Coordinator position conducts reviews of claims selected for audit within the client's claim system to verify reimbursement methodology and provide claim exclusions to the HBA Selection SME. Once the audit is completed, this position would also be responsible for calculating final refund amounts due based on reimbursement terms outlined in the Payer-Hospital rat ... More
  • Virtual
    Req #1757
    Thursday, October 14, 2021
    EXL Health is looking for a Clinical Denials Nurse – HBA / Hospital Bill Audit The role will evaluate provider appeals for appropriateness of hospital bill reimbursement with regard to denials and address provider-client escalations. Responsible for overseeing provider appeals disputing hospital bill audit findings based on medical and contractual policies. Also responsible for promoting work environment to facilitate employee satisfaction, people development, continuous process improvement, ... More
  • Fort Myers, FL, USA
    Req #1754
    Wednesday, October 13, 2021
    The Company: EXL Premium Audit, a leader in the field, can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. Responsibilities: The Premium Auditor will conduct insurance premium audits for Worker’s Compensation, Auto and General Liability policies. This is done by auditing policyholder’s records and applying rules and company standards. If you are look ... More