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 operate across a range of markets, from financial services to healthcare, automotive, agribusiness, insurance, and many more. Experian invests in people and new advanced technologies to unlock the power of data. We have an amazing team of 25,200 people in 32 countries. 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

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

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).