Client Technical Specialist

Experian

6d • Remote

About The Position

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 digital 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 to save time and money. We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments. We invest in people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com .

General Summary of Duties:

· Informing physicians, clinics, hospitals, and other kinds of healthcare organizations via written communication about payers' changes to policies and procedures.

· Ability to review large quantities of data, to summarize key points, and to classify into relevant categories.

· Ability to identify medical conditions and coding to ensure the alert created is sent to the correct specialties.

· Ability to determine the type of alert categories: Administration, Clinical, Pharmaceutical and Reimbursement and select the categories which the alert applies.

Reports to the Manager of Payer Alerts

Essential Functions:

· Research the internet to locate drugs, conditions and diseases, medical specialties and critical information required to correlate updated health information and the types of providers requiring the information.

· Classify information into the following categories: Administrative, Clinical, Pharmaceutical, Reimbursement, and Pre-Certification/Authorization.

· Recognize the various types of web pages (PDF document versus html) and components/functions of a web page (bookmark).

Requirements

• 3–5 years of experience in the U.S. healthcare industry
• Billing or claims experience
• Familiarity with ICD-10, CPT, and HCPCS coding standards
• Understanding of multiple payer types (Commercial, Medicare, Medicaid, and Managed Care)
• General knowledge of medical specialties, provider types, and care settings
• Basic medical terminology knowledge
• Review and compare policy updates accurately
• Commitment to collaboration and fostering an inclusive, team-oriented environment

Responsibilities

• Informing physicians, clinics, hospitals, and other kinds of healthcare organizations via written communication about payers' changes to policies and procedures.
• Ability to review large quantities of data, to summarize key points, and to classify into relevant categories.
• Ability to identify medical conditions and coding to ensure the alert created is sent to the correct specialties.
• Ability to determine the type of alert categories: Administration, Clinical, Pharmaceutical and Reimbursement and select the categories which the alert applies.
• Research the internet to locate drugs, conditions and diseases, medical specialties and critical information required to correlate updated health information and the types of providers requiring the information.
• Classify information into the following categories: Administrative, Clinical, Pharmaceutical, Reimbursement, and Pre-Certification/Authorization.
• Recognize the various types of web pages (PDF document versus html) and components/functions of a web page (bookmark).

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed