., ., United States
6 hours ago
Healthcare Payer Support Analyst (healthcare billing, 837, ICD-10 expertise) - Remote

Company Description

Experian is a global data and technology company, powering opportunities for people and businesses around the world. We help to redefine lending practices, uncover and prevent fraud, simplify healthcare, create marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realize their financial goals and help them save time and money.

We operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more industry segments.

We invest in people and new advanced technologies to unlock the power of data. As a FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 22,500 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.

Job Description

At Experian Health, our employees can shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. https://www.experian.com/healthcare/

As a Healthcare Support Analyst, with healthcare billing, 837 and ICD-10 expertise, you will report to Experian Health and support current Experian Health ClaimSource clients.

You'll have opportunity to:

Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectivenessDocument complex solutions to internal and external clients promptlyAssess project complexity and estimate development and the implementation timeframeProvide input to improve product documentation and trainingAssign and monitor detailed project tasks and communicate summary level information to management and involved partiesYou will communicate status with team members, end-users and clients within client expectations including participating in regular client callsMaintain relationships with clients and service/sales teamPerform claims conversions from legacy to Claim Source either as lead or as a secondary analystMonitor accuracy and completeness of all assigned jobsProvide technical support including testing, debugging, troubleshooting and implementing necessary program changes, or additionsAnalyze customer data including performing optimizations and edit reviews with customersReview and evaluate payer notificationsCollaborate with internal and external groups to define process requirements for projectsMay interpret orders and selects appropriate tools to process ordersTrack change requests and high severity incidentsIdentify problems/solutions and lead research on complex issues. Be a resource to resolve technical problems.

Qualifications4+ years' experience hospital and physician billing experience4+ year's knowledge of healthcare ICD10 diagnosis and procedure codes, CPT-4 codes required4+ years' experience with healthcare 837 format and healthcare UB04/1500 required4+ years' experience with ADA paper formsMinimal travel

Benefits/Perks:

Great compensation package and bonus planCore benefits including medical, dental, vision, and matching 401KFlexible work environment, ability to work remoteFlexible time off including volunteer time off, vacation, sick and 12-paid holidays

Additional Information

Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.

Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is an important part of Experian's DNA and practices, and our diverse workforce drives our success. Everyone can succeed at Experian and bring their whole self to work, irrespective of their gender, ethnicity, religion, colour, sexuality, physical ability or age. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.

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