Encounters Analyst Job Description Template
Our company is looking for a Encounters Analyst to join our team.
Responsibilities:
- Extract data and review it for quality and accuracy as well as submission timeliness;
- Streamline analysis as needed;
- Support the processes related to the submission of encounter data to contracted health plans as required by their reporting schedule;
- Other special projects as requested by management;
- Create quarterly reports to assist providers/vendors on submission gaps; coordinate corrective action plan as needed;
- Create map changes in EZ-NET EDI programs as applicable to match new companion guides.
Requirements:
- Ability to analyze, interpret and prepare reports;
- Analytical and detail oriented with excellent project management skills;
- Knowledge of X12 EDI implementation and companion guides is a must;
- Ability to write clear concise narratives and statistical reports;
- Proficiency level in MS-Excel 2013 or higher;
- Effective verbal, written and interpersonal communication skills;
- Experience with MS Excel functions that includes working with large data sets and creating standardized reports and graphs;
- Knowledge of the CMS 1500 and UB04 is required but not mandatory;
- Ability to work well with others in a professional, team-oriented environment;
- Two years’ experience working at a health plan or managed care organization in EDI or related departments;
- Experience with encounter data submissions;
- EZ-CAP® knowledge a plus;
- Ability to analyze large data sets and assist in the documentation of results;
- Ability to communicate and work with outside vendors.