Encounter Data Specialist
New
W
WelbeHealthHealthcare
Remote, CA, USAFull-TimeMiddle
Salary61,663.43 - 81,395.73 USD per year
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Job Details
- Experience
- Minimum of three (3) years of experience with encounter data submissions and resolution; five (5) years of experience as a healthcare claims supervisor or above may be substituted
- Required Skills
- Data AnalysisMicrosoft ExcelMicrosoft Office
Requirements
- High school diploma or equivalent
- Minimum of three (3) years of experience with encounter data submissions and resolution; five (5) years of experience as a healthcare claims supervisor or above may be substituted
- Excellent organizational, time management, and communication skills
- Proficient with office and electronic communication (i.e., Excel and Microsoft Office)
- Ability to work independently with minimal supervision
- Demonstrated ability to prioritize in a fast-paced environment
Responsibilities
- Ensure encounter data submissions meet federal and state requirements
- Analyze and interpret encounter data errors to identify potential issues and trends
- Review and resolve encounter errors in a timely manner to achieve and maintain high encounter submission acceptance rates
- Monitor monthly federal and state encounter data reports and create an error resolution plan
- Stay informed of federal and state updates for encounter data rules and regulations
- Work closely with both internal and external partners to identify issues and perform root cause analyses on encounter rejections related to claims data and eligibility
- Support new implementations of encounter submissions to CMS and state necessary to accommodate company growth
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