Remote Encounter Data Analyst & Process Improver

Humana Inc; Northern (KY); Hybrid; USD 59,000 - 81,000; Full time

Benefits offered by this job

Work from Home

Travel opportunities

Job summary

Humana Inc. is seeking an Encounter Data Management Professional to develop business processes ensuring successful submission and reconciliation of encounter data to Medicare/Medicaid. You will analyze data, research claims issues, and identify errors to improve encounter acceptance rates while maintaining compliance with CMS/HIPAA guidelines.

This is a remote position. Join the EDM team to monitor submissions, support data entry and reconciliation, and communicate findings to business partners.

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.
• Use your skills to make an impact.

Skills

Data entry

Data analysis

Excel

Tools

DOS-based systems

Job description

Humana Inc. is seeking an Encounter Data Management Professional to develop business processes ensuring successful submission and reconciliation of encounter data to Medicare/Medicaid. You will analyze data, research claims issues, and identify errors to improve encounter acceptance rates while maintaining compliance with CMS/HIPAA guidelines.

This is a remote position. Join the EDM team to monitor submissions, support data entry and reconciliation, and communicate findings to business partners.