Business Encounter Data Analyst

Job Summary

A company is looking for a Business Encounter Data Analyst.

Key Responsibilities:

• Understand claims encounter data requirements to ensure completeness, accuracy, and timeliness
• Review encounter rejections and resolve data/system issues
• Participate in claims encounter initiatives and provide subject matter expertise

Required Qualifications:

• Bachelor's degree in a related field or equivalent experience
• 5+ years of experience in managed healthcare environment
• 5+ years of experience in encounter data operations, claims processing, or provider billing
• 3+ years of claim coding and billing processes
• Advanced knowledge of HIPAA regulations and 837 EDI standards