Remote Encounter Data Analyst – Medicare & Medicaid

Humana Inc; Cheyenne (WY); On-site; USD 59,000 - 81,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid time off

Disability insurance

Job summary

Humana Inc. is seeking an Encounter Data Management Professional to analyze encounter data, research claims issues, and support submission and reconciliation for Medicare and Medicaid. The role emphasizes data integrity and process improvements in a remote work setting.

You will participate in projects, ensure compliance with encounter submission requirements, and communicate findings to business partners while supporting the EDM team's goals and ongoing optimization efforts.

Qualifications

• 2+ years of relevant business processing or data entry experience.
• 1+ year of experience analyzing or reconciling data.
• Experience using Excel (can maintain complex spreadsheets) and other data analysis.
• Experience working with DOS-based or legacy systems.

Responsibilities

• Analyze encounter data to identify errors, discrepancies, and trends.
• Support submission and reconciliation processes for Medicare and Medicaid.
• Research claims and related data to resolve processing issues.
• Identify opportunities to improve encounter acceptance rates and reduce errors.
• Communicate findings and process impacts with business partners.
• Support compliance with established encounter submission requirements.
• Participate in projects and process improvement programs.

Skills

Data analysis

Data entry

Process awareness

Tools

Excel

DOS-based systems

Microsoft SQL

SAS

Job description

Humana Inc. is seeking an Encounter Data Management Professional to analyze encounter data, research claims issues, and support submission and reconciliation for Medicare and Medicaid. The role emphasizes data integrity and process improvements in a remote work setting.

You will participate in projects, ensure compliance with encounter submission requirements, and communicate findings to business partners while supporting the EDM team's goals and ongoing optimization efforts.