Assistant Manager, Post Healthcare Audit Operations

EXLService.com LLC • Pittsburgh, PA • 3h ago

This on-site position ensures the accurate and timely handling of live check payments, banking transactions, and payment integrity workflows. Responsibilities include receiving and processing live checks, maintaining check registers, depositing funds using remote deposit capture (RDC), reconciling banking activity, and performing foundational payment integrity tasks to support accurate claims payment and recovery efforts.

The ideal candidate has prior banking or financial operations experience, exceptional attention to detail, and an interest in healthcare payment integrity. This role requires the ability to balance financial responsibilities with administrative payment integrity functions while maintaining compliance with organizational policies and regulatory requirements.

Responsibilities

Banking & Financial Operations

Receive, open, and process live check payments in accordance with established security and internal control procedures.

Create and maintain accurate check registers to track incoming checks and deposit activity, ensuring complete auditability and accountability.

Process daily live check deposits accurately and within established service level expectations.

Utilize remote deposit capture (RDC) scanners to prepare, scan, and deposit checks received from healthcare clients and partners.

Navigate online banking systems to verify deposits, monitor account activity, and research banking transactions.

Reconcile daily deposits against internal payment records and investigate and resolve discrepancies.

Maintain complete and accurate documentation of deposit activity, check registers, and banking records.

Support internal and external audits by maintaining organized financial records.

Ensure compliance with banking procedures, internal controls, HIPAA requirements, and organizational policies.

Payment Integrity Support

Perform basic payment integrity activities in support of healthcare claims payment accuracy and recovery initiatives.

Review and process payment integrity documentation and supporting records.

Process outgoing payment integrity checks by matching them with their corresponding backup materials in compliance with internal policies and deadlines

Assist with identifying and tracking overpayments, recoveries, refunds, returned checks, and payment adjustments.

Maintain accurate records related to payment integrity projects and case tracking.

Collaborate with internal departments to support payment integrity investigations and resolve payment and vendor discrepancies.

Assist with data entry, reporting, and administrative functions related to payment integrity and medical record operations.

Support process improvement initiatives that enhance payment accuracy, financial integrity, and operational efficiency.

Perform outreach via phone and email to resolve provider collections questions.

Perform other payment integrity and financial operations duties as assigned.

Qualifications

Required

Associate or bachelor's degree in business, Finance, Accounting, Healthcare Administration, or a related field preferred.

Minimum of two years of banking, treasury, cash management, payment processing, healthcare finance, or related financial operations experience.

Experience using online banking platforms and processing financial transactions.

Strong attention to detail with the ability to identify discrepancies and maintain accurate records.

Excellent organizational, analytical, and time management skills.

Proficiency in Microsoft Office applications, particularly Excel.

Ability to maintain confidentiality while handling sensitive financial and healthcare information.

Preferred

Experience in healthcare payment integrity, revenue cycle, claims processing, or healthcare finance.

Familiarity with healthcare claims, insurance payments, recoveries, or provider reimbursement.

Experience operating remote deposit capture (RDC) scanners or similar banking equipment preferred.

Knowledge of reconciliation practices, audit support, and internal financial controls.

Understanding of HIPAA requirements related to protected health information (PHI).

Key Competencies

Exceptional attention to detail

Banking and financial operations knowledge

Payment integrity fundamentals

Financial reconciliation and balancing

Strong analytical and problem-solving skills

Organizational and time management abilities

Effective written and verbal communication

Ability to work independently and collaboratively

Commitment to confidentiality, compliance, and accuracy

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