Encounter Data Management Professional - Remote

Overview

The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare, ensuring compliance and data integrity.

In Short

• Develops business processes for encounter submissions.
• Ensures compliance standards are met for Medicaid/Medicare.
• Analyzes data to improve encounter acceptance rates.
• Requires strong analytical and problem-solving skills.
• 1-5 years of claims processing experience required.
• Excellent communication skills are necessary.
• Experience with Microsoft Office applications is essential.
• Preferred experience in the health insurance industry.
• Remote position with occasional travel for training.
• Salary range from $65,000 to $88,600 per year.

Requirements

• 1-5 years of claims processing experience.
• Minimum 1 year of experience in root cause analysis.
• Strong analytical and problem-solving skills.
• Ability to manage multiple tasks with attention to detail.
• Excellent communication skills.
• Comprehensive knowledge of Microsoft Office.
• Bachelor's degree preferred in related fields.
• X12 experience is a plus.
• Working knowledge of SQL or SAS preferred.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off including holidays and volunteer time.
• Short-term and long-term disability coverage.
• Life insurance and other opportunities.