Audit Coordinator – Inbound/Outbound Calls

EXL · via Tech Sales Jobs

💰 $15 - $21/hr 🌎 Remote ⏰ Full Time ⌛ Posted 12 days ago

Handle inbound provider calls, log details, and resolve issues
Monitor and respond to internal and external emails within established service levels
Manage the mailbox, assign emails, monitor aging emails, and create reports for management
Log and return voicemails within established service levels
Make outbound calls to assist providers with portal navigation, verify contact details, and confirm receipt of request letters
Escalate unresolved issues to management and follow up as needed
Communicate and report workflow or system issues to leadership
Consistently meet quality and productivity standards
Uphold HIPAA and confidentiality regulations in all interactions
Support the post-audit process and company-wide programs through other assigned duties

High School Diploma
Associate degree or relevant certification is a plus
Prior customer service or high-volume call center experience required
1-year minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
Strong verbal and written communication skills
Exceptional organizational and multitasking abilities
Proficiency in Microsoft Office, including Excel and Outlook
Able to make recommendations to improve and streamline processes
High level of integrity and confidentiality
Comfortable working in a high-volume, fast-paced environment with various software programs
Must uphold HIPAA and confidentiality regulations