Sustains strong knowledge of encounter system processes within HMSA and external partners.
Coordinates and reconciles data exchange with external entities monitoring quality.
Researches complex claim-member-provider scenarios to determine root cause of data submission errors.
Coordinates activities with internal staff to optimize encounter submission processes.
Actively participates in the planning implementation and testing of projects to increase the scope or efficacy of encounters submission.
Analyzes project objectives, data sources, and methodology.
Provides data to support financial reporting.
Monitors government and vendor requirements changes.
Determines and communicates the impact of these changes.
Ensures submission methodologies are compliant with published guidance.