Company Overview and Culture
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.
About EXL Health
We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem. Technology, data and analytics are at the heart of our solutions. We collaborate closely with clients to transform how care is delivered, managed and paid.
EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid. Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions. With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.
We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.
🚀 Join EXL Health as a Durable Medical Equipment (DME) Auditor – 100% Remote (US-Based)
Are you passionate about accurate claims processing and auditing? Do you have deep knowledge of Durable Medical Equipment (DME) and HCPCS codes? If so, we’d love to have you on our team!
EXL Health is looking for a Detail-Oriented, Claims-Savvy DME Auditor to join our fast-growing team. This is a fully remote opportunity – work from anywhere in the U.S. and help shape the future of healthcare auditing.
💼 What You’ll Be Doing:
As a DME Auditor, you’ll use your deep understanding of Durable Medical Equipment (DME), Medicare, Medicaid, and commercial reimbursement rules to review professional claims and ensure proper coding and payment. You’ll analyze claims, document your findings clearly, and help our clients recover overpayments—all while making a direct impact on healthcare efficiency.
Key Responsibilities:
- Review professional claims to verify HCPCS coding accuracy and appropriate reimbursement for Durable Medical Equipment (DME).
- Apply industry knowledge and EXL’s proprietary tools to identify overpayments and audit trends.
- Write clear, professional audit rationales based on AMA guidelines.
- Navigate various client systems to reprice and process complex claims.
- Interpret provider contracts and fee schedules to determine correct payment methods.
- Maintain high standards for quality, productivity, and appeals uphold rate.
- Stay updated on coding guidelines, CMS/OIG policies, and industry best practices.
- Ensure compliance with HIPAA and all federal/state regulations.
✅ What You Bring:
- 3+ years of experience in claims processing, medical billing, or auditing—with a strong focus on Durable Medical Equipment (DME).
- In-depth knowledge of HCPCS codes and reimbursement policies.
- Proven ability to read and interpret contract language and fee schedules.
- Preferably certified with RHIA, CPC, or similar credentials (multiple credentials are a plus).
- Comfortable working independently in a remote environment.
- Strong written and verbal communication, time management, and analytical skills.
- Intermediate Excel and Word skills, with a solid grasp of basic math.
Bonus if you’ve used: FACETS, NASCO, Encoder Pro, TrueCode, 3M, Webstrat, Pricers.
🌟 Why Join EXL Health?
We’re more than just a company—we’re a collaborative, mission-driven team improving healthcare through smart data and dedicated people. Here’s what you can expect:
- 🤝 Team Support & Mentorship: You’ll work with industry experts who are excited to share knowledge and help you grow.
- 🚀 Career Development: Expand your skills and explore new career paths across the business.
- 🧠 Learning Opportunities: Stay sharp and informed with access to training, tools, and thought leadership.
- 🏡 Work-Life Flexibility: Enjoy the freedom of remote work with occasional travel to connect with your team and clients.
- 🌎 Meaningful Impact: Your work directly contributes to better, more efficient healthcare.
Ready to make your mark as a Durable Medical Equipment (DME) Auditor?
Apply now and help us improve healthcare—one audit at a time.
EEO/Minorities/Females/Vets/Disabilities
To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits
Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits.
Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy.
Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).
EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.
