HMSA · 3 days ago
Encounters System Analyst I
Honolulu, HI
Full-time
Hybrid
Entry Level
$53K/yr - $99K/yr
1+ years expHMSA is a health insurance provider, and they are seeking an Encounters System Analyst I to optimize the completeness and accuracy of encounter data submissions. The role involves collaboration with various departments to enhance encounter information quality and requires building expertise on regulatory changes.
AssociationHealth CareInsuranceMedical
Responsibilities
Analyzes encounter system processes within HMSA and external partners
Coordinates and reconciles exchange of data with external entities
Researches various claim-member-provider scenarios to determine root cause of data submission errors
Participates in discussions with internal staff to optimize encounter submission processes
Participates in projects to increase the scope or efficacy of encounters submission
Provides data to support financial reporting
Monitors government/vendor requirements changes
Ensures submission methodologies are compliant with published guidance
Documents new processes or procedures and updates existing documentation
Qualification
Required
Bachelor's degree and one year related experience; or an equivalent combination of education and experience
Conceptual knowledge of claims, health plan financial data, and health industry structure
Conceptual knowledge of Medicare Advantage, Medicaid, and/or ACA revenue cycles for payers
Intermediate working knowledge of Microsoft Office applications, including but not limited to Word, Excel, Outlook, and PowerPoint
Conceptual knowledge of SQL, SAS, or MicroStrategy
Company
HMSA
HMSA is an insurance company that provides affordable health plans, employee benefits services and worksite wellness programs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Rick Hopfer
Chief Information Officer
Recent News
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