Appeals Analyst II
Experian Information Solutions, Inc
Heredia, Costa Rica
hace 9 días

Success Profile

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 :

Description

The Healthcare Appeals Analyst is responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.

Essential Functions :

Knowledge, Experience & Qualifications

Education and Experience :

  • Associates degree preferred
  • Minimum of two years’ experience working with managed care claims and appeals for health care professional services (physicians and other health care professionals).
  • Experience in a production environment desirable but comfort in such an environment is essential.
  • Knowledge : Skills :

    Skills :

  • Demonstrated skill in gathering and reporting claims information.
  • Demonstrated skill in written and oral communication with colleagues, supervisors, and payer / network personnel.
  • Demonstrated skill working in a team-oriented structure to achieve goals.
  • Demonstrated skill in problem solving and research. Abilities :
  • Ability to work effectively with other departments and management.
  • Ability to identify, analyze and solve problems and to recognize patterns in data.
  • Ability to learn, understand and use the software applications
  • Abilities :

    Proven previous job stability, including maintaining long-term work relationships with former employers

    Proven previous job stability, including maintaining long-term work relationships with former employers

    ust be able to clear the company’s pre-employment screening

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    Benefits

    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.

    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 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.

    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.

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