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 realise 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/
You will report to the Health Operations Team and support current Experian Health Claim Source customers
Review internal process, recommend and develop changes to improve systems efficiency, automation, and/or effectiveness
Document and communicate complex solutions to internal and external clients in a timely manner
Assess project complexity and estimate development and 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 as required
You will communicate status with team members, end users and clients within client expectations including participating in regular client calls
Develop strong working relationships with clients and service/sales team
Perform claims conversions from legacy to Claim Source as needed 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, updates, 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 project
May interpret orders and selects appropriate tools to process orders accurately and efficiently
May perform software packaging duties, be involved in pre-sales processes, and perform complex database tasks and maintenance as required
Responsible for tracking change requests and high severity incidents
Identify problems/solutions and lead research on complex issues. Serve as a resource to resolve technical problems. Provide training and support
Assist with team leadership roles and mentor new team members
Qualifications
Qualifications:
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
Solid expertise with ADA paper forms
Benefits/Perks
Great compensation package and bonus plan
Core benefits including full 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
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, engagement, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian’s people first approach is award-winning; Great Place To Work™ in 24 countries, FORTUNE Best Companies to work and Glassdoor Best Places to Work (globally 4.4 Stars) 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.
Seniority level
Associate
Employment type
Full-time
Job function
Customer Service
Industries
Information Services
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