What are the responsibilities and job description for the Encounter Data Management Specialist position at Humana?
A company is looking for an Encounter Data Management Professional to develop business processes for encounter submissions to Medicaid / Medicare.Key ResponsibilitiesDevelop and enhance business processes for successful encounter submission and reconciliationEnsure compliance standards are met through data analysis and improve acceptance ratesResearch claims and execute queries in SQL for data integrity and accuracyRequired QualificationsBachelor's degree in business, Finance, Operations, or related field, or 1 years of related experience1 years of X12 experience1 years of understanding of healthcare claims and encounter data1 years of experience in detailed process improvement and documentationAbility to work East Coast hours
