Job Description

Job Description – Reimbursement Analyst II – Experian Health (171375) Experian is an Equal Opportunity Employer Reimbursement Analyst II – Experian Health – Job Number: 171375 Description The Claims Analyst reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Job Duties: • Process and review Medicaid primary and secondary claims. • Review and research various reports (i.e. daily status reports, not sent reports, hold reports, UB/2360 status reports, Aged Trial Balance reports). • Serves as a liaison between payer and clients. • Process Medicaid status files. • Maintain manual of billing notes, instructions, examples, emails, IDPA releases, bulletins, etc. • Familiar and knowledgeable of the Healthcare and Family Services (HFS) policy and procedure information. • Comply with HIPAA guidelines. • Access various clients’ host systems. • Perform account follow-up • Knowledge of UB04 • Utilize company software programs • Familiar with resources such as CPT, IDC9CM, & HCPCS coding books. Other Duties as Required. Qualifications Education & Experience: • Associates Degree preferred • One to two years of high volume medical billing and/or insurance claims processing experience required. • One to two years of customer service experience preferred. Special Skills and Knowledge: • Knowledge and understanding of coding and Medicaid regulations, medical insurance billing concepts: UB/2360/1500 • Knowledge of third party reimbursement processes Job : Healthcare Primary Location : Costa Rica-Heredia-Heredia Schedule : Full-time Job Posting : 08/21/2017, 9:17:57 PM Organization : Health Equal Employment Opportunity Statement It is the policy of Experian to provide equal employment opportunities to all employees and applicants for employment. All employment practices such as recruitment, selection, promotions, and other terms and conditions of employment are administered in a manner designed to ensure that employees and applicants for employment are not subjected to discrimination on the basis of race, color, religion, sex, national origin, age, disability, marital status, medical condition, pregnancy, disability, veteran status, sexual orientation, gender expression or identity, genetic information or any other protected characteristic under applicable law. This policy relates to all phases of employment, including, but not limited to, recruiting and/or recruitment advertising and selection for hire. As part of the company’s equal employment opportunity and affirmative action policy, Experian will also take affirmative action as called for by applicable laws and Executive Orders to ensure that minority group individuals, females, disabled veterans, recently separated veterans, other protected veterans, Armed Forces service medal veterans, and qualified disabled persons are introduced into our workforce and considered for promotional opportunities. Experian is committed to providing a work environment free from discrimination and harassment, and where Experian applicants and employees are treated with respect and dignity. This policy is in accordance with State and Federal laws and reaffirms our company’s continuing commitment to both the spirit and intent of Equal Employment Opportunity laws and policies. Reasonable Accommodation Experian provides reasonable accommodation so that qualified applicants with a disability may participate in the selection process. Please advise us of any accommodations you request in order to express interest in a position by e-mailing: talentacquisitonops@experian.com or 714-830-5022. Please state your request for assistance in your message. Only reasonable accommodation requests related to applying for a specific position within Experian will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Experian.

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