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.
Job DescriptionGeneral 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- 3–5 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
Benefits/Perks:
- Great compensation package and bonus plan
- Core benefits including medical, dental, vision, and matching 401K
- Flexible work environment, ability to work remote
- 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
At Experian, our people and culture set us apart. We're deeply committed to creating an environment where everyone feels they belong and can excel. From inclusion and authenticity to work/life balance, development, wellness, collaboration, and recognition, we focus on what truly matters. Our people-first approach has earned us global recognition: World's Best Workplaces™ 2024 (Fortune Top 25), Great Place To Work™ 2025 in 26 countries, and Glassdoor Best Places to Work 2024, among others.
Want to see what life at Experian is really like? Explore Experian Life on social or visit our careers site.
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. If you have a disability or special need that requires accommodation, please let us know at the earliest opportunity.
#LI-Remote
This is a remote position.
Skills Required
- 3-5 years of experience in the U.S. healthcare industry
- Billing or claims experience
- Familiarity with ICD-10, CPT, and HCPCS coding standards
- Understanding of multiple payer types (Commercial, Medicare, Medicaid, Managed Care)
- General knowledge of medical specialties, provider types, and care settings
- Basic medical terminology knowledge
- Ability to review large quantities of data, summarize key points, and classify information
- Ability to identify medical conditions and coding to route alerts to correct specialties
- Ability to determine and select alert categories (Administrative, Clinical, Pharmaceutical, Reimbursement, Pre-Cert/Authorization)
- Research skills to locate drugs, conditions, specialties and correlate updated health information
- Recognize various web page types and components (PDF vs HTML, bookmarks)
- Commitment to collaboration and fostering an inclusive, team-oriented environment
Experian Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Experian and has not been reviewed or approved by Experian.
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Healthcare Strength — Medical and dental coverage is described as strong, with expanded mental health resources and telemedicine options. Coverage includes inclusive services such as gender transition and fertility support.
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Leave & Time Off Breadth — Time-off offerings are generous, including substantial PTO/vacation, paid holidays, and paid volunteer days with options to purchase additional leave. Parental leave is available for birth and non-birth parents alongside flexible working arrangements that support work-life balance.
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Retirement Support — Retirement programs include a 401(k) with company matching and contributory pension schemes in some regions. These elements complement base pay and bonuses to form a competitive total rewards package.
Experian Insights
What We Do
Experian unlocks the power of data to create opportunities for consumers, businesses and society. During life’s big moments – from buying a home or car, to sending a child to college, to growing a business exponentially by connecting it with new customers – we empower consumers and our clients to manage data with confidence so they can maximize every opportunity. We gather, analyse and process data in ways others can’t. We help individuals take financial control and access financial services, businesses make smarter decision and thrive, lenders lend more responsibly, and organizations prevent identity fraud and crime. For more than 125 years, we’ve helped consumers and clients prosper, and economies and communities flourish – and we’re not done. Our 20,600 people in 43 countries believe the possibilities for you, and our world, are growing. We’re investing in new technologies, talented people and innovation so we can help create a better tomorrow. About Experian: Bringing data to life requires creativity, passion, flexibility and expertise. We want you to share in our success. That's why we offer rewards that recognise great performance. Working in a culture of collaboration, achievement and respect we will give you the support and encouragement you need to develop your skills and talents and progress your career. Everyday our people bring enthusiasm, innovation and inspiration to work and if this sounds like you connect with us at Experian.
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