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Posted: Thursday, March 23, 2017 12:16 AM


Company Name: EliteMark Recruiting

Job Function: Data Analysis and Reporting
Job Type: Full-Time

Health Care Encounter Data Specialists are responsible for the timely and accurate filing of Encounter files on behalf of clients.

Responsibilities include:
• Reconciling Claims system extracts, 837I and 837P files and entity response files account for all qualifying claims processed in a specific pay cycle.
• Tracking and/or assigning work to others, researching and resolving all claims identified as “Bad” during the validation process and all claims identified as “Rejected” by the State and CMS (errors are included in the 277CA, 999, 835 and MA002 files) according to SLAs
• Coordinating error correction efforts with staff and customers on a daily, weekly and monthly basis.
• Facilitating meetings with internal team and customer based audiences
• Responding to issues in a timely manner
• Communicating effectively with customers, management and team

Required Skills:
• Certified Professional Coder (CPC) or a comparable coding certification (e.g. AHIMA CCS-P)
• Knowledgeable of the claims adjudication process including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker's compensation, or motor vehicle accidents
• Familiar with Medicare Advantage and Medicaid programs
• Familiar with X.12 5010 837I and 837P file structures
• Advanced level skills in Microsoft Excel
• Excellent verbal and written communications skills
• Excellent problem solving skills

Contact Person: Charli Lavett
Email Address:
Phone: 2054109772

• Location: Birmingham, Birmingham, Alabama

• Post ID: 17597744 birmingham is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017