Itemized Bill Review Auditor III (IBR)

ExlService Holdings, Inc.; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

ExlService Holdings, Inc. in the United States is seeking an Itemized Bill Review Auditor to conduct hospital charge audits to verify charges against documentation in medical records.

The role focuses on identifying overcharges, undercharges and unbundled items per carrier contracts and payer policies. The position requires knowledge of Unbundling Guidelines, Medicare guidelines, and flexible scheduling with possible travel to provider locations; strong clinical experience and technical skills

Qualifications

• Hospital Bill Audit knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines.
• Nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location.
• The position requires strong clinical experience and technical skills.

Responsibilities

• Itemized Bill Review Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record.
• Charge audits identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.

Skills

Hospital Bill Audit knowledge

Job description

Itemized Bill Review Auditor conducts hospital charge audits on claims paid at percent of billed charges to verify charges are appropriate and supported by documentation in the medical record. Charge audits identify overcharges, undercharges and unbundled items per carrier contract, industry standards and payer reimbursement policies.

Hospital Bill Audit knowledge is required with regard to Unbundling Guidelines specific to payer policy, industry standards and Medicare Guidelines. The nurse will also be responsible for independent scheduling requiring flexibility and possible travel to provider location. The position requires strong clinical experience and technical skills.

Salary range $70,000 - $90,000

0-10% travel may be required.

The posted range is the hiring range for this role — a subset of the broader range available to employees over time — and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate's skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process.