84 applicants

Company

Original Job Post

Reveleer · 2 days ago

UAT Engineer

United States

Full-time

Remote

Senior Level

$140K/yr - $170K/yr

5+ years exp

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Artificial Intelligence (AI)Health Care

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Responsibilities

Ensure accuracy and completeness of data submissions to CMS

Provide reports and analysis specific to the encounter data submissions to CMS

Identify root cause of data loss and encounter rejections and co-ordinate with internal teams to enable complete and accurate submissions

Work with other teams to verify, test and correct error within the encounter data system

Monitor and track encounter data through out the process and ensure data integrity through ongoing end-to-end reconciliation

Must be able to perform UAT and setup best practices for the function

Participate in cross-team encounter data workgroup meetings

Analyze trends and create documentation supporting all reports

Track CMS timelines for submissions and work with internal teams to meet the deadlines

Maintain thorough documentation of RCAs and be able to train other members on team

Customer Success Partnership: Work closely with the Customer Success team to ensure that technical operations support client satisfaction and retention. Lead the technical response to any client issues, driving quick resolutions and maintaining trust

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Claims Data ManagementEDIMedicare ProgramsMedicare Encounter DataRisk Adjustment MethodologySQLETL ToolX12 EDI FilesICD10 CodesCPT/HCPCSRevenue CodesUB04CMS1500 Claim SubmissionsElectronic Claim SubmissionsData AnalysisData ExtractionQuery ExecutionProblem-SolvingCommunication

Required

Minimum 5 years of healthcare Claims data management and EDI experience.

Strong understanding of Medicare Programs

Minimum 5 years’ experience working with Medicare Encounter Data and Risk adjustment Methodology

In-depth knowledge and experience of SQL and any standard ETL tool.

Strong Knowledge of X12 EDI files

Knowledge of ICD10 codes, CPT/HCPCS, revenue codes, UB04 and CMS1500 claim submissions and electronic claim submissions.

Ability to independently gather, interpret and analyze data

Ability to extract data from multiple source using software tools

Ability to understand, interpret, create, execute complex queries and reports

Excellent written and verbal communication skills

Benefits

Medical

Dental

Vision benefits

401k with Employer Match

Generous PTO plan

Company

Reveleer

Reveleer provides health plan software and services for risk adjustment, quality, and data analytics using NLP technology.

Founded in 2009

Glendale, California, USA

51-200 employees

https://www.reveleer.com

H1B Sponsorship

Reveleer has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Trends of Total Sponsorships

2023 (1)

2022 (1)

2021 (1)

2020 (1)