Company Overview and Culture 

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

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 Health is looking for Coordinator II for our Pre Audit Coordinator II Team.  This is a remote role within the U.S.

Coordinator II Responsibilities:

• Take escalation inbound calls from Tier 1 Team, logging each call in the system and taking the necessary steps to resolve
• Monitor and respond to email correspondence, both internal and external.
• Escalate issues to management or other internal Teams as needed for follow-up action
• Access payer systems to research refund questions
• Log voicemail in system and return calls according to service level
• Make outbound calls to Providers to assist with using our Portal, verify address, contact info and confirm receipt of EXL Request letters
• Monitor and respond to “Chats” from Providers
• Responsible for communication and reporting of any system or workflow issues to the appropriate Leadership or Team Members
• Meet quality and productivity standards as indicated by service level
• Comply with HIPAA and other regulations regarding confidentiality of information.
• Other duties as assigned to support the audit process and/or company-wide programs

Qualifications:

• Previous high volume customer service or call center experience
• Previous medical claims or claim payment experience
• Education:  High school diploma or equivalent
• Prior Healthcare experience a plus

Knowledge and Skills:

• Demonstrates the ability to work in an organized, efficient and process-oriented manner
• Strong oral and written communication skills and the ability to problem solve
• Excellent customer service skills
• Ability to transition from one task to another, while maintaining attention to detail
• Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.
• Proficient in Microsoft Office, emphasis with Excel and Outlook
• Comfortable working in a high-volume, fast-paced environment either with a team or individually
• Comfortable using various types of software programs

What We Offer: 

• 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 sets the stage for further growth and development in our company and beyond.