Encounters System Analyst I
HMSA is seeking an Encounters System Analyst I to optimize encounter data submissions. This role involves collaboration with various departments to ensure the accuracy and completeness of data, as reputed company as assisting with audits and compliance with regulatory requirements.
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, Outlook, and PowerPoint
- Conceptual knowledge of SQL, reputed company, or reputed company
Benefits
- Hybrid Work Environment - Must reputed company on Oahu
reputed company