Job Opportunities in Costa Rica
July 21, 2024
Experian
Heredia
OTHER
Healthcare Claims Support Analyst
Company Description
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
Job Description
At "Experian Health", our employees can shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. https://www.experian.com/healthcare/
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.
Qualifications
Qualifications:
Additional Information
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.
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.
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
Job Description
At "Experian Health", our employees can shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. https://www.experian.com/healthcare/
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.
- 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.
- Track open issues and report to customer support, or clients until resolution is obtained.
- Responsible for managing open issues queue and communicating updates to internal and external clients
- Provides root cause analysis, resolution and documentation on problem ticket (using Salesforce).
- Support File Transfer processes for both claims and remit.
- 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 process.
Qualifications
Qualifications:
- Experience in claims and remit operations (837/835 transactions).
- Healthcare background
- Prior experience with Salesforce.
- Knowledge of health care claims and remits.
- Verbal and written English skills.
Additional Information
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.
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.
Latest Job Opportunities
October 19, 2024
Edwards Lifesciences
Engineer II, Facilities (Building Maintenance)
OTHER
View Details
October 19, 2024
Johnson Controls
Building Controls Applications Engineer II - Major Projects
San José
View Details
Similar Jobs
![Accenture Collection Analyst [Claims]](/storage/logo/Accenture.jpeg){kind=logo}
September 6, 2024
Medtronic
HR Support III - HR Business Operations - C.R. & Latam
Alajuela
OTHER
View Details
New Jobs from This Company