Company Description
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 digital marketing solutions, and gain deeper insights into the automotive market, all using our unique combination of data, analytics and software. We also assist millions of people to realise their financial goals and help them to save time and money.
We operate across a range of markets, from financial services to healthcare, automotive, agrifinance, insurance, and many more industry segments.
We invest in people and new advanced technologies to unlock the power of data and to innovate. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), we have a team of 23,300 people across 32 countries. Our corporate headquarters are in Dublin, Ireland. Learn more at experianplc.com.
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Description
As the EDI Payer Enrollment Coordinator, you will report to Experian Health. You will help manage the payer enrollment processes related to electronic data exchange between healthcare providers and payer organizations. Your primary responsibility will be to facilitate the seamless integration of healthcare providers into payer networks through EDI enrollment procedures. You will work with both internal and external teams to ensure compliance with industry standards and regulations.
You'll have the opportunity to:
- Coordinate and oversee the payer enrollment process, ensuring timely and accurate submissions
- Collaborate with payer organizations to obtain and understand enrollment requirements
- Verify the accuracy and completeness of enrollment materials before submission to payers
- Conduct enrollment follow-up with payers and vendors regarding enrollment application statuses
- Communicate with clients, payers, vendors, and internal staff to provide current enrollment statuses and answer outstanding questions
- Identify, troubleshoot and resolve any enrollment issues
- Provide training and support to clients on EDI enrollment procedures
- Stay updated on payer enrollment changes and share knowledge with the team
Qualifications
- 1+ year of experience with the EDI Payer Enrollment processes
- Familiarity with X12 EDI standards
- An understanding of Healthcare Revenue Cycle Management
- 1+ year of experience managing a high volume of cases simultaneously
- 1+ year of experience strategic thinking and tactical planning with regard to the EDI Payer Enrollment process
- Associates Degree in Healthcare, Business, or related field experience
Additional Information
Benefits/Perks:
- Great compensation package and bonus plan
- Core benefits including medical, dental, vision, and matching 401K
- Flexible work environment, ability to work remote, hybrid or in-office
- Flexible time off including volunteer time off, vacation, sick and 12-paid holidays
- Explore all our exciting benefits here: https://yourexperianbenefits.com/cand-index.html
Our uniqueness is that we celebrate yours. Experian's culture and people are important differentiators. We take our people agenda very seriously and focus on what matters; DEI, work/life balance, development, authenticity, collaboration, wellness, reward & recognition, volunteering... the list goes on. Experian's people first approach is award-winning; World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ in 24 countries, and Glassdoor Best Places to Work 2024 to name a few. Check out Experian Life on social or our Careers Site to understand why.
Our compensation reflects the cost of labor across several U.S. geographic markets. The base pay range for this position is listed above. Within this range, individual pay is determined by work location and additional factors such as job-related skills, experience, and education. You will be also eligible for a variable pay opportunity.
Experian is proud to be an Equal Opportunity Employer for all groups protected under applicable federal, state and local law, including protected veterans and individuals with disabilities. Innovation is an important part of Experian's DNA and practices, and our inclusive workforce allows everyone to succeed and bring their whole self to work. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.
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This is a remote position.