Healthcare Support Analyst (Remote)

Experian

22h • Remote

About The Position

Experian Health is looking for a Healthcare Support Analyst to join their team. This role involves supporting current Claims suite of products, reviewing internal processes to recommend and develop changes for improved system efficiency, automation, and effectiveness. The analyst will document and communicate complex solutions to internal and external clients, assess project complexity, estimate development and implementation timelines, and communicate status updates to team members, end-users, and clients. The position also requires developing client relationships, performing claims conversions, monitoring job accuracy, providing technical support (testing, debugging, troubleshooting, implementing updates), analyzing customer data, reviewing payer notifications, and collaborating with internal and external groups to define process requirements. Additionally, the role involves interpreting orders, selecting appropriate tools, performing software packaging, complex database tasks and maintenance, tracking change requests and high severity incidents, contributing to continuous improvements, maintaining project plans and schedules, and mentoring new team members. The analyst will report to the Customer Support Director.

Requirements

• Bachelor's degree or equivalent experience
• 2+ years experience in a computing environment
• Experience with 837 format and UB04/1500/ADA paper forms
• Knowledge of ICD-10 diagnosis and procedure codes
• Knowledge of CPT-4 codes
• Basic project management skills

Nice To Haves

• Previous hospital and physician billing experience is a plus

Responsibilities

• Support current Claims suite of products
• Review internal process, recommend and develop changes to improve systems efficiency, automation, and effectiveness
• Document and communicate complex solutions to internal and external clients promptly
• Assess project complexity and estimate development and implementation timeframe
• Communicate status with team members, end-users and clients within client expectations including participating in regular client calls
• Develop relationships with clients and service/sales team
• Perform claims conversions from legacy to Claim Source 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 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
• Interpret orders and select appropriate tools to process orders
• Perform software packaging responsibilities
• Perform complex database tasks and maintenance
• Track change requests and high severity incidents
• Contribute to continuous improvements by identifying ways to optimize resources
• Maintain comprehensive project plans and schedules
• Help with team leadership roles and mentor new team members

Benefits

• Great compensation package and bonus plan
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees