Job Summary
A company is looking for an Encounters System Analyst.
Key Responsibilities
- Manage State and Federal Encounters SLAs and KPIs
- Resolve internal and State/CMS rejections through hands-on remediation
- Collaborate with vendors and internal teams to ensure data quality and compliance
Required Qualifications
- Comprehensive knowledge of healthcare EDI transactions, including 837 and response transactions
- Experience with healthcare program implementations, preferably in Medicaid
- Proficient in data validation and encounter rejection resolution
- SQL proficiency for generating reports and validating data
- Familiarity with Medicaid programs and EDI standards
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