At WelbeHealth, it’s our mission to serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.
The Encounter Data Specialist is a key member of the WelbeHealth configuration team and is accountable for ensuring the successful and compliant submission of encounter data reporting to both CMS (Federal) and State authorities.
Essential Job Duties:
- Ensure encounter data submissions meet Federal and State requirements
- Analyze and interpret encounter data errors to identify potential issues and trends
- Review and resolve encounter errors in a timely manner to achieve and maintain high encounter submission acceptance rates
- Monitor monthly Federal and State encounter data reports and create error resolution plans
- Work closely with our external and internal partners to identify issues and perform root cause analyses on encounter rejections related to claims data and eligibility
- Support new implementations of encounter submissions to CMS & State necessary to accommodate company growth
Job Requirements:
- High school diploma or equivalent
- Minimum of three (3) years of experience in encounter data submissions and resolution or five (5) years of experience as a healthcare Claims Supervisor or above
- Minimum of three (3) years of experience with encounter data submissions and resolution or healthcare high level claims
- Experience with office and electronic communication (e.g., Microsoft Office)
Benefits of Working at WelbeHealth: Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
- Medical insurance coverage (Medical, Dental, Vision)
- Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
- 401 K savings + match
- Advancement opportunities – we’ve got a track record of hiring and promoting from within, meaning you can create your own path!
- And additional benefits
Salary/Wage base range for this role is $56, 920- $71, 150 + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.