Healthcare Claims Support Analyst - 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 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

Reportiing to the Claims and Remittance Operations Manager, the Claims Support Analyst will provide support to both Claims and Remit Clearinghouses. You will work with the software development teams, customer support, enrollment and payer services teams to monitor file activity and investigate all claims or remit related issues. Issue investigated can include non-delivery of files, incorrect file formats, claims rejection investigations and provider enrollment verification.

You will have opportunity to:

• Monitor both the Claim Health Monitor and the ERA Monitor (in-house applications) for errors or problems and determine the appropriate method of investigation to use for troubleshooting the problem.
• Manage assigned open issues working collaboratively with in-house teams and customers to resolution.
• Provide root cause analysis, resolution and documentation on problem ticket (using Salesforce CRM).
• Healthcare EDI transaction review
• Guide communication between development teams and support teams and between Passport/Experian and the Payers.
• Recommend ideas and solutions to help simplify and speed up support and troubleshooting processes.
• Document customer and payer interactions.

Qualifications:

• 1+ Experience in healthcare claims and remit operations (837/835/277/999 transactions) required.
• Prior experience with Salesforce CRM
• Prior business to business customer service experience
• Strong organizational skills

Benefits/Perks:

• This role is remote from anywhere within the U.S.
• Great compensation package and bonus plan
• Core benefits including medical, dental, vision, and matching 401K
• Flexible work environment, ability to work remote, hybrid or in-office
• 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, 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.