Healthcare Payer Support Analyst (healthcare billing, 837, ICD-10 expertise) - Remote

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.

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 effectiveness
• Document complex solutions to internal and external clients promptly
• Assess project complexity and estimate development and the implementation timeframe
• Provide input to improve product documentation and training
• Assign and monitor detailed project tasks and communicate summary level information to management and involved parties
• You will communicate status with team members, end-users and clients within client expectations including participating in regular client calls
• Maintain relationships with clients and service/sales team
• Perform claims conversions from legacy to Claim Source either as lead or as a secondary analyst
• Monitor accuracy and completeness of all assigned jobs
• Provide technical support including testing, debugging, troubleshooting and implementing necessary program changes, or additions
• Analyze customer data including performing optimizations and edit reviews with customers
• Review and evaluate payer notifications
• Collaborate with internal and external groups to define process requirements for projects
• May interpret orders and selects appropriate tools to process orders
• Track change requests and high severity incidents
• Identify problems/solutions and lead research on complex issues. Be a resource to resolve technical problems.

• 4+ years' experience hospital and physician billing experience
• 4+ year's knowledge of healthcare ICD10 diagnosis and procedure codes, CPT-4 codes required
• 4+ years' experience with healthcare 837 format and healthcare UB04/1500 required
• 4+ years' experience with ADA paper forms
• Minimal travel

Benefits/Perks:

• Great compensation package and bonus plan
• Core benefits including medical, dental, vision, and matching 401K
• Flexible work environment, ability to work remote
• Flexible time off including volunteer time off, vacation, sick and 12-paid holidays

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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