Rhsc
Encounter Data Specialist
Okemos, MI
Sponsorship not specifiedDetected 30 days ago
AuditingCommunicationInternal Audit
About the role
- We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
- At Delta Dental, we celebrate our All In culture.
- It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Responsibilities
- Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
- Develops, maintains, and updates all encounter policies and procedures.
- Creates and maintains an encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
- Develops and tests internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
- Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
- Leads and participates in encounter data and compliance meetings as assigned.
- Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
Requirements
- Position requires knowledge of word processing, spreadsheet, presentation, and database applications
- and the ability to identify and resolve complex problems using independent judgement.
Nice to have
- Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred.
Visa & Work Authorization
- out regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, he
This listing is sourced directly from Rhsc's careers page and normalized into a canonical job model.