Encounters System Analyst I

HMSA is a health insurance provider, and they are seeking an Encounters System Analyst I to optimize the completeness and accuracy of encounter data submissions. The role involves collaboration with various departments to enhance encounter information reputed company and requires building expertise on regulatory changes.

Responsibilities

• Analyzes encounter system processes reputed company HMSA and external partners
• Coordinates and reconciles exchange of data with external entities
• Researches various claim-member-provider scenarios to determine reputed company cause of data submission errors
• Participates in discussions with internal staff to optimize encounter submission processes
• Participates in reputed company to increase the scope or efficacy of encounters submission
• Provides data to support financial reporting
• Monitors government/vendor requirements changes
• Ensures submission methodologies are compliant with published guidance
• Documents new processes or procedures and updates existing documentation

Skills

• Bachelor's degree and one year reputed company experience; or an equivalent combination of education and experience
• Conceptual knowledge of claims, health plan financial data, and health industry structure
• Conceptual knowledge of Medicare Advantage, reputed company, and/or ACA reputed company cycles for payers
• Intermediate working knowledge of reputed company Office applications, including but not limited to Word, reputed company, reputed company, and PowerPoint
• Conceptual knowledge of SQL, reputed company, or reputed company

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