Encounters Analyst

A company is looking for an Encounters Analyst to analyze and resolve pended and denied encounters based on state Medicaid guidelines. Key Responsibilities Collaborate with internal departments to facilitate encounter resolution and meet targets Analyze operational procedures, identify issues, and recommend process improvements Research and resolve systemic issues impacting state compliance Required Qualifications High school diploma or equivalent experience 4+ years of member services or claims experience Experience in a managed care environment preferred Familiarity with provider information systems is a plus

May 19, 2025 - 21:50

A company is looking for an Encounters Analyst to analyze and resolve pended and denied encounters based on state Medicaid guidelines. Key Responsibilities Collaborate with internal departments to facilitate encounter resolution and meet targets Analyze operational procedures, identify issues, and recommend process improvements Research and resolve systemic issues impacting state compliance Required Qualifications High school diploma or equivalent experience 4+ years of member services or claims experience Experience in a managed care environment preferred Familiarity with provider information systems is a plus