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  • Virtual
    Req #1239
    Thursday, September 23, 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 #1623
    Thursday, September 23, 2021
    EXL is hiring an SAVP – Operations Management (POD Leader). This is a home office opportunity.   Key Responsibilities: 7 -15 yrs of experience in leading the Cost Containment/Payment Auditing operations for Payer clients Lead PnL responsibilities for Payment Integrity solutions for the assigned Payer accounts. Lead performance management initiatives to improve efficiency and effectiveness of Client Operations Responsible for engaging with Payer stakeholders at a CXO and VP / Director level a ... More
  • Virtual
    Req #1616
    Wednesday, September 22, 2021
    Job Description: EXLHealthcare Recruiters partner with internal hiring leaders to understand current growth projections and translate into hiring demands of the business. To meet these initiatives, we proactively build sourcing and staffing strategies that to achieve these initiatives. To be successful in this role, we look for recruiting partners that use emerging sourcing methodologies (think Boolean!). Advertise job postings in the most effective locations, evaluating candidates and develop ... More
  • Pittsburgh, PA, USA
    Req #1038
    Wednesday, September 22, 2021
    EXL Health is looking for a Admin / Mailroom Assistant. This a FT permanent position. EXL (NASDAQ: EXLS) is a leading business process solutions company that looks deeper to drive business impact through integrated services and industry knowledge. EXL provides operations management, decision analytics and technology platforms to organizations in insurance, healthcare, banking and financial services, utilities, travel, transportation, and logistics. Please visit www.exlservice.com for more inf ... More
  • Virtual
    Req #1625
    Wednesday, September 22, 2021
    Position Title: Agency/Licensing/Commissions Specialist Basic Function: Under general supervision, you will maintain agent records, compile information, and handle all aspects in the verification process of the licensing of the agents to ensure they are licensed appropriately to conduct business for Life insurance policies. This role works independently within established procedures and guidelines associated within this job function. You will coordinate directly with agents, state agencies and ... More
  • Virtual
    Req #1465
    Wednesday, September 22, 2021
    EXL Health is looking for an Auditor I - 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 facility onsite. The codin ... More
  • Gurugram, Haryana, India ● Noida, Uttar Pradesh, India
    Req #1605
    Wednesday, September 22, 2021
    The EXL FRAC Team Recruitment & Onboarding Support role can be Remote and based in Gurgaon or Noida, India and will provide recruitment support to the US FRAC hiring team. This role will focus on sourcing, interview scheduling, onboarding and other areas of recruitment admin coordination for the US FRAC team requisitions. The ideal candidate will have recent experience performing recruitment support functions for US based hires - preferably within the Consulting and/or BPO industry. ***Must b ... More
  • Virtual
    Req #1604
    Wednesday, September 22, 2021
    The EXL FRAC Consulting & Advisory group is seeking to hire a temporary Recruiter to join our team for up to 6+ months. This is a work from home opportunity. Recruiting experience working for or supporting Consulting & Advisory Firms, Big 4 Firms or similar, IT Solutions Services (ITO), Business Process Solutions Services (BPS / BPO) and/or Staffing Agency experience is a major plus. Responsibilities:Support the recruiting process to include screening, submitting qualified applicants, and schedu ... More
  • Virtual
    Req #1613
    Wednesday, September 22, 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 #1621
    Wednesday, September 22, 2021
    Accounting Support SpecialistBasic Function:·Provide final approval of bank reconciliations·Provide final approval of suspense reconciliations and inventory·Review Trial Balance for reasonability validation ·Support and train reconciliation specialist.·Maintain banking relationship with client and service provider.·Maintain blackline relationship and support·Adhere to clients anti- money laundering requirements·Analyze client business requirement and develop procedures and controls.·Adhere to s ... More
  • Virtual
    Req #1617
    Wednesday, September 22, 2021
    Overview: EXL Health delivers strategic solutions that integrate technology, operations management, analytics, care management, payment integrity, revenue optimization, and customer engagement. EXL Health solutions are used by many of the nation’s largest, most respected health plans and health delivery systems.   EXL offers competitive compensation, attractive working conditions and a professional environment. Responsibilities: EXL is looking for an exceptional senior customer focused pers ... More
  • Jersey City, NJ, USA
    Req #1622
    Wednesday, September 22, 2021
    Job profile: Work with and oversee a team responsible for document receiving, opening, sorting, preparation, scanning, archiving, and related troubleshooting. Oversight duties include all operational, staff, and reporting duties, including issue resolution, managing Prep-Scan team and work assignments, reporting on volume of work received and produced, and quality control of production. A team player who can work in a collaborative fashion motivating co-workers to achieve success and a commitme ... More
  • Pittsburgh, PA, USA
    Req #1544
    Tuesday, September 21, 2021
    EXL Health is seeking a full time, entry-level Subrogation Claims Quality Specialist for our Pittsburgh, PA location. This is a mixed position - 50% work from home and 50% on location.   This position requires the Quality Specialist to work closely with the Quality Manager, mail room and subrogation team to review mail (letters and documents) printed in Pittsburgh; review inbound/outbound call recordings, provide written evaluations and verbal feedback to the subrogation departmen ... More
  • Virtual
    Req #1618
    Tuesday, September 21, 2021
    Business Analyst, Insurance Consulting Location - Any   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 ... More
  • Dallas, TX, USA
    Req #821
    Tuesday, September 21, 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 loo ... More
  • Virtual
    Req #1587
    Tuesday, September 21, 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 #1132
    Tuesday, September 21, 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 ... More
  • Nashville, TN, USA
    Req #1615
    Tuesday, September 21, 2021
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  • Peoria, IL, USA ● Quincy, IL, USA ● Springfield, IL, USA
    Req #1614
    Tuesday, September 21, 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
  • Shreveport, LA, USA
    Req #1594
    Tuesday, September 21, 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 looki ... More
  • Austin, TX, USA
    Req #1593
    Tuesday, September 21, 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 looki ... More
  • Virtual
    Req #52
    Monday, September 20, 2021
    EXL Health is seeking an experienced and self-motivated Nurse Auditor - HBA, for a remote, Home Office opportunity.   The Nurse Auditor conducts hospital bill charge audits by reviewing medical records to verify services were provided and charges are appropriate. Charge audits identify overcharges, undercharges and unbundled items per carrier contract and industry standards. They will also be responsible for independent scheduling requiring flexibility and possible travel to provider loc ... More
  • Virtual
    Req #1603
    Monday, September 20, 2021
    EXL Health is seeking an experienced and self-motivated Nurse Auditor for a full time position- HBA, (Hospital Bill Audit) for a remote, Home Office opportunity. The Nurse Auditor conducts hospital bill charge audits by reviewing medical records to verify services were provided and charges are appropriate. Charge audits identify overcharges, undercharges and unbundled items per carrier contract and industry standards. They will also be responsible for independent scheduling requiring flexibilit ... More
  • Virtual
    Req #1607
    Monday, September 20, 2021
    Overview:This position is a product leader responsible for the design, development, management and strategy of EXL Health’s care management platform products within Clinical Services. This individual will execute against that product strategy, while managing the product roadmap and portfolio, identifying new market opportunities, ensuring alignment across the organization, and driving execution.This position reviews product performance against expectations, and facilitates and influences change ... More
  • Virtual
    Req #1450
    Friday, September 17, 2021
    The Company: Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field appraisal, inspection and risk control services to support our clients’ underwriting processes. EXL delivers industry-leading professionalism, quality and turn-around time, and our innovative solutions help our clients keep ahead of the competition. https://www.exlservice.com/survey-and-risk-control ... More