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Healthcare Payer Support Analyst (EDI and X12 required)

Experian
Full-time
Remote
United States

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 Payer Support Analyst (EDI and X12 experience required), you will report to our Client Organization and manage complex payer issues, which are escalated from our teams. You work with payers, trading partners, and our clients to resolve them.

You'll have opportunity to:

  • Troubleshoot complex payer issues
  • Participate in some project management and oversight
  • Manage a large caseload of issues and questions escalated from Customer Support, and Relationship Management in Salesforce
  • Communicate with clients regarding support cases
  • Determine the severity and scope of issues, inquiries, and requests
  • Manage and troubleshoot client and user payer configurations
  • Build the internal and external Knowledge Base (KCS) ad enhancements and maintain it

Qualifications

  • 3+ years' experience with healthcare-related standards and specifications is required
  • 3+ years experience with EDI, X12 and with payer support within a hospital or healthcare system is required
  • 3+ years experience in the healthcare IT industry / healthcare revenue cycle
  • 1+ year SalesForce experience
  • Bachelor's degree in business, healthcare management, or a related field

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

Additional Information

Our uniqueness is that we truly celebrate yours. Experian's culture and people are key differentiators. We take our people agenda very seriously and focus on what truly matters; DEI, work/life balance, development, authenticity, engagement, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's strong people first approach is award winning; Great Place To Workβ„’ 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.

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Experian is proud to be an Equal Opportunity and Affirmative Action employer. Innovation is a critical 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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