Hybrid Encounter Data Specialist: Analytics & Compliance

Delta Dental Plan of Michigan, Inc.; Okemos (MI); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Comprehensive benefits package

Annual incentive compensation

Paid volunteer time

Job summary

Delta Dental Plan of Michigan, Inc. seeks an Encounter Data Specialist in Okemos, MI (Hybrid). This role focuses on analyzing, correcting, and recommending solutions for encounter data issues while collaborating with stakeholders to ensure compliance.

The ideal candidate needs a Bachelor’s degree and 5 years of experience in health plan benefits administration. A comprehensive benefits package, including medical and dental coverage, is offered.

Qualifications

• 5 years of experience identifying or resolving business issues in health plan administration.
• Preferred: experience with Medicare and/or Medicaid programs.
• Strong knowledge of word processing, spreadsheet, and database applications.

Responsibilities

• Correct rejected encounters in compliance with processing guidelines.
• Research and review encounter data to identify potential issues.
• Monitor and audit encounter submissions to ensure accuracy.

Skills

Strong analytical skills

Strong verbal and written communication skills

Ability to work independently

Experience in health plan benefits administration

Education

Bachelor’s degree in business administration or a related field

Tools

Word processing applications

Spreadsheet applications

Database applications

Job description

Delta Dental Plan of Michigan, Inc. seeks an Encounter Data Specialist in Okemos, MI (Hybrid). This role focuses on analyzing, correcting, and recommending solutions for encounter data issues while collaborating with stakeholders to ensure compliance.

The ideal candidate needs a Bachelor’s degree and 5 years of experience in health plan benefits administration. A comprehensive benefits package, including medical and dental coverage, is offered.