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Job Description
- Sustains strong knowledge of encounter system processes within HMSA and external partners.
- Coordinates and reconciles data exchange with external entities, monitoring quality.
- Researches complex claim-member-provider scenarios to determine root cause of data submission errors.
- Coordinates activities with internal staff to optimize encounter submission processes.
- Actively participates in the planning, implementation, and testing of projects to increase the scope or efficacy of encounters submission.
- Analyzes project objectives, data sources, and methodology.
- Provides data to support financial reporting.
- Monitors government/vendor requirements changes. Determines and communicates impact.
- Ensures submission methodologies are compliant with published guidance.