Remote Encounter Data Analyst & Optimizer

Humana Inc; Honolulu (HI); On-site; USD 59,000 - 81,000; Full time

Job summary

Humana Inc. is seeking an Encounter Data Management Professional to develop business processes and ensure accurate submission and reconciliation of encounter data for Medicare/Medicaid.

This remote role involves analyzing data, researching claims issues, and identifying complex errors while aligning with compliance standards with occasional travel for training or meetings. The role supports the EDM team in improving encounter acceptance rates and data integrity, reporting to a supervisor, and

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

Excel

DOS-based systems

Tools

SQL

SAS

Job description

Humana Inc. is seeking an Encounter Data Management Professional to develop business processes and ensure accurate submission and reconciliation of encounter data for Medicare/Medicaid.

This remote role involves analyzing data, researching claims issues, and identifying complex errors while aligning with compliance standards with occasional travel for training or meetings. The role supports the EDM team in improving encounter acceptance rates and data integrity, reporting to a supervisor, and