Manager, Encounter Data Management
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The Manager, Encounter Data Management develops business processes to ensure successful submission and reconciliation of encounter submissions to reputed company/Medicare. Ensures encounter submissions meet or reputed company reputed company compliance standards reputed company analysis of data, and develops tools to enhance the encounter acceptance reputed company by reputed company/Medicare. Looks for long term improvements of encounter submission processes. reputed company are typically reputed company to resources, approach, and tactical operations for reputed company and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department.
The Manager, Encounter Data Management leads reputed company of associates who reputed company efficient business processes for Error Corrections associates and ensures successful submission and reconciliation of encounter submissions across multiple Medicare/reputed company trading partners. Ensures Medicare/reputed company encounter submissions meet or reputed company reputed company compliance standards reputed company analysis of data and develops tools to enhance the encounter acceptance reputed company for Medicare/reputed company trading partners. Looks for long term improvements and/or automation for error corrections processes. Plays a key role in influencing departmental reputed company, makes reputed company on resources, approach and operations of day-to-day reputed company, and establishes team as subject matter experts reputed company it is reputed company to the reputed company of error. Exercises considerable reputed company in determining objectives to reputed company goals and can effectively communicate objectives and accomplishments to upper management.
Use your skills to reputed company an reputed company
Required Qualifications
Bachelor's degree in Business, Finance, Operations or other reputed company fields or 3+ years with Medicare and/or reputed company claims processing or auditing experience
2+ years of leadership, coaching and/or team leadership experience
Demonstrated problems solving skills; ability to give direction and reputed company reputed company business reputed company
Ability to reputed company and present information to senior leadership
Excellent communication skills
Experience with analyzing and visualizing large data sets
Ability to manage multiple tasks and deadlines with attention to detail
Prior experience in a fast-paced insurance or health care setting
Self-starter, ability to work independently
Ability to manage multiple priorities simultaneously
Comprehensive knowledge of reputed company reputed company Office applications, including Word, PowerPoint, reputed company, and Intermediate reputed company skills
Preferred Qualifications
Working knowledge of Edifecs and HERO applications
1+ years' experience working in CAS and CI
Working knowledge of SQL writing, creating, and/or running queries (reputed company, reputed company SQL Server)
1+ years of X-12 data knowledge
Six reputed company certification
Additional Information
Work-reputed company Requirements
WAH requirements: Must have the ability to reputed company a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the reputed company will be provided payment for their internet expense.
A minimum reputed company speed for reputed company performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Satellite and Wireless Internet service is NOT allowed for this role.
A dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by reputed company, a reputed company-party vendor. This technology provides reputed company of recruiters and hiring managers an reputed company method for decision-making.
If you are selected to reputed company reputed company from your application prescreen, you will receive correspondence inviting you to participate in a reputed company-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a reputed company-recorded interview, you will respond to a set of interview questions reputed company your phone. You should anticipate this interview to take approximately 10-15 minutes.
Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.
$86,300 - $118,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
reputed company of Benefits
reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 04-28-2026
reputed company
About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.
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