Behavioral Health Auditor III

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: $60,100 - $85,800*
Location: 100% Remote (U.S.-based)

Up to 10% annual travel (for team meetings and limited client onsite engagements.)

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 opportunities.
• Share your expert knowledge to guide teams on Behavioral Health payment integrity issues.
• Meet EXL’s productivity and quality goals while maintaining compliance with HIPAA and other regulations.

What We’re Looking For

• Education: Bachelor’s degree in healthcare administration, business, finance, or a related field.
• Experience: 3+ years in Behavioral Health services (mental health and substance use disorder treatment).
• Credentials (Preferred): CCS, RHIA, RHIT, CPC, RN, MSW – bonus points if you have multiple!
• Expertise: Strong understanding of Behavioral Health standards, payer policies, and regulations.
• Bonus: Experience in Behavioral Health retrospective overpayment auditing.

What You Bring

• Ability to work independently in a fully remote environment.
• Strong time management and prioritization skills.
• A problem-solving mindset and ownership of results.
• Excellent communication skills (both written and verbal).
• Sharp analytical skills and great attention to detail.
• Proficiency in Microsoft Excel, Word, and OneNote.
• A passion for Behavioral Health auditing and a desire to thrive in a culture built on teamwork, collaboration, and excellence.

Why Join EXL?
At EXL, you’ll be part of a supportive, inclusive team that values expertise, collaboration, and growth. We believe in empowering our people to succeed while making a real impact on healthcare.

If you’re ready to bring your Behavioral Health expertise to a role that values accuracy, innovation, and teamwork, we’d love to hear from you!

*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.