Behavioral Health Auditor III

Job description

We’re looking for a Behavioral Health Auditor III to join us in a fully remote role. In this position, you’ll use your knowledge of payer policies, industry standards, and regulatory guidelines to review and audit Behavioral Health claims. Your work will directly impact the integrity of healthcare payments and help ensure accurate, compliant practices across the industry. This isn’t just auditing—it’s about bringing insight, spotting trends, and helping shape the future of Behavioral Health payment integrity. Salary range for this role is $70,000 - $80,000 For more information on benefits and what we offer please visit us at https://www.exlservice.com/us-careers-and-benefits What You’ll Do: - Audit and review Behavioral Health claims to identify potential errors. - Analyze data against payer policies, procedures, and regulatory requirements. - Document findings clearly and professionally to support next steps. - Recommend claim adjustments or recoveries when necessary. - Collaborate with cross-functional teams to solve problems and drive improvements. - Stay ahead of the curve on regulations, laws, and industry standards. - Track and report audit findings, spotting trends and oppor...