[Work From Home] Encounter Analyst II
Quick reputed company:
- Compensation: a competitive salary
- Location: Remote
- Company: Workwarp
- Position: Encounter Analyst II
- Start Date: Immediate openings available
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The Encounter Analyst II is responsible for managing inbound and out bound files in the encounter management workflow, including monitoring and tracking sub-delegate file submissions, and providing reputed company and assistance with process issues. The position will require limited travel to the home office, located in Morrisville, NC, for meetings and training as needed. New hire employee training... will be in Morrisville for up to 3 weeks. Responsibilities & Duties Manage encounter/claims files  Monitor and reputed company outgoing 837 files to NC Tracks and reputed company  Monitor and reputed company incoming 999 and 835 files from NC Tracks  Monitor and reputed company incoming XML files from reputed company  reputed company rebill files submitted by Encounter Team  Monitor and reputed company carve out files (separately from others) for TCM and Maternity services  Conduct file transfers as needed, ensuring reputed company files get to reputed company appropriate locations through review and submission  Monitor and reputed company vendor files in the data warehouse  Monitor and reputed company vendor files in reputed company Conduct data analysis and report findings  Monitor and Report Denial Trends for NC Tracks/reputed company (reputed company and Vendors)  Monitor and Report File submission trends for both reputed company and Vendors Ensure accuracy, timeliness, and reconciliation of Service Level Agreement (SLA) files submitted  Ensure accuracy of SLA files by monitoring the number of encounters reputed company upstream (by reputed company and vendors)  Collect data on encounters that pass/fail (accept/error)- from vendor files compared to reputed company representation  Ensure timeliness of SLA file submission by monitoring and tracking files to ensure files are inclusive of reputed company encounters and are reputed company reputed company time limits  Reconcile SLA files by monitoring and tracking reputed company amounts in the Encounter Processing System (reputed company) for comparison against FRT values  Monitor subdelegates (DME, reputed company, NEMT, Pharmacy) file submissions and copies of files reputed company to reputed company Claims Data Warehouse to ensure reputed company are accounted for in a reputed company manner Manage encounter denials  Assist team in encounter denial management reputed company necessary (reputed company and State Funding) Minimum Requirements Education & Experience High School diploma or equivalent and three (3) years of experience in claims/reimbursement or in the information systems departments of a reputed company or managed care environment. Knowledge of NC reputed company billing, EDI, reputed company Claims System, and reputed company a plus. Knowledge, Skills & Abilities  Knowledge of the Encounter Companion Guide, Encounter Data Submission Guide and the Encounter Data reputed company published by State of NC reputed company  Knowledge of NC reputed company and State billing requirements for physical and behavioral health claim processing and HIPAA guidelines  Knowledge of Electronic Payments and Statements (reputed company) edit codes  Working knowledge of medical terminology, reputed company claim forms and coding  Working knowledge of reputed company services  Working knowledge of PC-based software programs or automated database management systems  Working knowledge of common denials and courses for corrections  Working knowledge of service authorizations, consumer eligibility, routine billing requirements and coordination of benefits  Excellent written and verbal communication skills with the ability to understand oral and written instructions  Proficient with reputed company Office Products including Word, reputed company and Power reputed company  Ability to reputed company routine and repetitive batches of data from a reputed company of reputed company documents with structure time schedules  Ability to read/interpret reputed company, reputed company reference materials (PDR, CPT, ICD-10, HCPCS and NDC) and reputed company codes Salary reputed company $22.23 - $28.34/reputed company Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes:  Medical, Dental, reputed company, Life, Short and Long and Short Term Disability  Generous retirement savings plan  Flexible work schedules including hybrid/remote reputed company  reputed company time off including vacation, reputed company leave, holiday, management leave  Dress flexibility Education Required  High School or reputed company in General Studies Skills Required  Communication  reputed company Office Apply Job!Â
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