Encounter Data Analyst
Company: PacificSource Health Plans
Location: Bend
Posted on: January 9, 2021
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Job Description:
Looking for a way to make an impact and help people?Join
PacificSource and help our members access quality, affordable
care!PacificSource is an equal opportunity employer. All qualified
applicants will receive consideration for employment without regard
to status as a protected veteran or a qualified individual with a
disability, or other protected status, such as race, religion,
color, national origin, sex, sexual orientation, gender identity or
age.Diversity and Inclusion: PacificSource values the diversity of
the people we hire and serve. We are committed to creating a
diverse environment and fostering a workplace in which individual
differences are appreciated, respected and responded to in ways
that fully develop and utilize each person's talents and
strengths.Position Overview: Review, analyze and adjust hospital
and professional claims as necessary for Encounter resolution.
Research Encounter Edit, identify trends and resolve root cause,
which need a higher level of adjudicator expertise, EDI
interpretation and decision making for Government lines of
business. Contribute to establishing and/or revising claims
research policies and procedures and look for ways to improve
processes. Work with external vendors contracted for EDI
transmissions. Participate in Encounter work groups, across
departments and participate or lead other standing or ad hoc
workgroups as needed.Essential Responsibilities:
Keywords: PacificSource Health Plans, Bend , Encounter Data Analyst, Professions , Bend, Oregon
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