Senior Payer Support Customer Service Representative
Job Number: 189030
At Experian Health, our employees have the opportunity to 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. Our success relies on people who are given the freedom to imagine new frontiers in the rapidly changing healthcare space and push the boundaries of innovation. Help us realize our vision of applying data for good and changing the healthcare landscape for the better – for all of us.
- Full Time
- Level: All
- Travel: Variable
- Glassdoor Rating: 3.7 out of 5
At Experian Health, our employees have the opportunity to shape more than products – they shape the future of U.S. healthcare. When looking for new talent to join our health teams, we look for individuals with the following traits:
- Innovation 9
- Problem-Solver 9
- Presenter 8
- Technologically savvy 10
- Confident 6
- Independent 4
- Customer Focused
- Team player
DescriptionThe Senior Payer Support Customer Service Representative is responsible for working with customers, payers, and clearinghouses to resolve payer related issues.
Primary responsibilities will inclcude:
- Investigate payer response related issues from internal and external customers
- Escalate issues to appropriate development groups, clearinghouses, and insurance companies
- Continue to follow on issues and provide updates to clients on status until issue is resolved
- Educate internal and external customers on payer responses
- Document payer related issues in knowledge articles
- Provide ongoing training and support to multiple internal areas within the company
- Provide training and support to team members and new hires
- Act as a case escalation point when the department manager is unavailable
- Attend client and partner conference calls when necessary
Knowledge, Experience & Qualifications
- Bachelor’s degree in Business, Healthcare Management, or other related field preferred.
- At least 5-7 years experience in a customer support or business analyst position in a healthcare/EDI environment
- Experience in healthcare revenue cycle management software and technology helpful
- Equivalent combination of education and experience may be considered
- Healthcare knowledge required
- Understanding of X12 message/file formats and transactions
- Effective communication and relationship building skills
- Self-motivated, autonomous
- Strong organization skills
- Ability to effectively manage a large case load
Experian is the leading global information services company, providing data and analytical tools to our clients around the world. We have always believed that data has the potential to transform lives and create a better tomorrow. We are transforming data into something meaningful: helping businesses to manage credit risk, preventing fraud, targeting marketing offers and automating decision making. We have been named one of the “World’s Most Innovative Companies” by Forbes for 3 years in a row, operating at the center of Big Data since before the phrase was coined. Few companies can offer information services on an equivalent scale. We support clients in more than 80 countries and employ approximately 17,000 people in 37 countries.
Experian is an Equal Opportunity Employer. Anyone needing accommodation to complete the interview process should notify the talent acquisition partner. The word "Experian" is a registered trademark in the EU and other countries and is owned by Experian Ltd. and/or its associated companies.
EOE including Disability/Vetera
Experian offers comprehensive coverage with flexible options for you as well as your spouse/domestic partner and eligible dependents. This includes medical, dental and vision insurance, health care savings and spending accounts, dependent care FSA, health & wellness program, and telemedicine.
Personal Finance Protection
We offer several benefits that strengthen your financial protection such as a 401k plan with an employer match, an employee stock purchase plan, life & additional insurance coverage.
We invest in your professional future through our education assistance program and many professional development programs. We also grant 20 scholarships to high school seniors each year to children of Experian employees.
We offer flexible time off in addition to corporate holidays, sick days and paid volunteer time off.
Experian supports your life outside the office with benefits such as our new parental leave policy covering time off for birth mothers as well as birth fathers and mothers/fathers of adoptive or foster children, adoption assistance, and pet insurance.
Experian employees enjoy many other benefits through our employee discounts, company sponsored activities, and flexible total rewards packages. Many of our office locations provide onsite amenities such as fitness centers, game rooms, cafeterias and free snacks in break rooms. We support work/life balance with convenient offices in several metropolitan locations and flexible work arrangements when possible.
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