Job Description

• Support current 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
• 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 supervise project resources on assigned projects
• 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
• Contribute to continuous improvements by identifying ways to optimize resources
• May maintain and publish comprehensive project plans and schedules
• Outline processing plans to support the implementation of new programs or processes
• Assist with team leadership roles and mentor new team members
• Applies advance skills in area of specialization to solve complex problem in creative and effective ways.

Qualifications

• _ Bachelor’s degree or equivalent experience_
• _ ** _ 4 years’ experience hospital and physician billing exp_ erience**_
• _ Advanced knowledge of healthcare ICD10 diagnosis and procedure codes, CPT-4 codes required_
• _ Strong experience with and thorough understanding of healthcare 837 format and healthcare UB04/1500 required_
• _ Solid expertise with ADA paper forms_
• _ Advanced analytical skills_
• Excellent technical skills within Microsoft Office suite
• Good leadership, organizational and written/verbal communication skills
• Ability to work well independently
• Detailed project management skills
• Ability to work closely with diverse group of internal/external organizational members

Additional Information

Culture at Experian

Our uniqueness is that we truly value yours.

Experian's culture, people, and environments are key differentiators. We take our people's agenda very seriously. We focus on what truly matters; diversity and inclusion, work/life balance, flexible work, development, engagement, collaboration, wellness, rewards & recognitions, volunteering... the list goes on!

Our benefits include: Medical, life and dental insurance, Asociacion Solidarista, International Share Save Plan, Flex Work/Work from home, Paid time off, Annual Performance Bonus, Education Reimbursement, Family Bonding, Bereavement Leave, Referral Program, and more.

Experian Careers - Creating a better tomorrow together