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Payer Support Customer Service Representative

Experian is an Equal Opportunity Employer Job Number: 181680


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.
The Payer Support Customer Service Representative is responsible for working with customers, payers, and clearinghouses to resolve payer related issues.
Job Duties:
• 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
Other duties as required.

Knowledge, Experience & Qualifications

Education & Experience:
• Bachelor’s degree in Business, Healthcare Management, or other related field preferred.• At least 2-3 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.
Special Skills and Knowledge:
• Healthcare knowledge required• Understanding of X12 message/file formats and transactions, strongly desired• Effective communication and relationship building skills• Self-motivated, autonomous• Strong organization skills• Ability to effectively manage a large case load