Healthcare Payer Support Analyst

Summary

Join Experian Health as a Healthcare Support Analyst and contribute to the future of U.S. healthcare. You will support Experian Health ClaimSource clients, leveraging your expertise in healthcare billing, 837, and ICD-10. This role involves reviewing internal processes, recommending improvements, documenting solutions, and assessing project complexity. You will communicate with team members, clients, and management, maintaining client relationships and ensuring project accuracy. Technical support, data analysis, and collaboration with internal and external groups are key aspects of this position. Experian offers a competitive compensation package and a flexible work environment.

Requirements

• 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

Responsibilities

• 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
• 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

Benefits

• 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