Client Technical Specialist Remote

Experian


Job Location:

Heredia - Costa Rica

Monthly Salary: Not Disclosed
Posted on: 6 hours ago
Vacancies: 1 Vacancy

Department:

Customer Service

Job Summary

General Summary of Duties:

Informing physicians clinics hospitals and other kinds of healthcare organizations via written communication about payers changes to policies and procedures.

Ability to review large quantities of data to summarize key points and to classify into relevant categories.

Ability to identify medical conditions and coding to ensure the alert created is sent to the correct specialties.

Ability to determine the type of alert categories: Administration Clinical Pharmaceutical and Reimbursement and select the categories which the alert applies.

Reports to the Manager of Payer Alerts

Essential Functions:

Research the internet to locate drugs conditions and diseases medical specialties and critical information required to correlate updated health information and the types of providers requiring the information.

Classify information into the following categories: Administrative Clinical Pharmaceutical Reimbursement and Pre-Certification/Authorization.

Recognize the various types of web pages (PDF document versus html) and components/functions of a web page (bookmark).


Qualifications :

  • 35 years of experience in the U.S. healthcare industry
  • Billing or claims experience

Knowledge

  • Familiarity with ICD-10 CPT and HCPCS coding standards
  • Understanding of multiple payer types (Commercial Medicare Medicaid and Managed Care)
  • General knowledge of medical specialties provider types and care settings
  • Basic medical terminology knowledge
  • Review and compare policy updates accurately
  • Commitment to collaboration and fostering an inclusive team-oriented environment

Additional Information :

Benefits/Perks:

General Summary of Duties: Informing physicians clinics hospitals and other kinds of healthcare organizations via written communication about payers changes to policies and procedures. Ability to review large quantities of data to summarize key points and to classify into relevant categories. Abilit...

About Company

Company Logo

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, ... View more

View Profile View Profile