Healthcare Claims Consultant

Job Summary

A company is looking for a Healthcare Facets Encounter Claims Consultant.

Key Responsibilities

• Ensure accurate and timely submission of encounter data
• Maintain the accuracy and completeness of encounter data, including member information and procedure codes
• Identify and resolve encounter rejections related to claims data or eligibility

Required Qualifications

• 10 years of healthcare experience, with 5 years of recent EDI implementation
• Strong understanding of EDI standards and encounter data formats
• Experience with FACETS - Claims module
• Knowledge of healthcare billing and coding regulations
• Experience with encounter data submissions and resolution