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Job Description
- Analyzes encounter system processes within HMSA and external partners.
- Coordinates and reconciles exchange of data with external entities.
- Researches various claim-member-provider scenarios to determine root cause of data submission errors.
- Participates in discussions with internal staff to optimize encounter submission processes.
- Participates in projects to increase the scope or efficacy of encounters submission.
- Provides data to support financial reporting.
- Monitors government/vendor requirements changes.
- Ensures submission methodologies are compliant with published guidance.
- Documents new processes or procedures and updates existing documentation.