Health Information Management P2 - Research and Special Projects

Profile

Description

The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and frequently require research, interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Health Information Management Professional 2 develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via research, analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Manages special projects with the ability to operate under tight deadlines. Communicates insight and analytical findings in professional manner. Prepare presentations for different leaders across business. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications


Bachelor's degree in Business, Finance, Accounting, Operations or other related fields, or equivalent to 5 years business experience
Strong critical thinking and analytical problem solving skills
Ability to manage multiple tasks and deadlines with attention to detail
Proven communication and conflict resolution
Prior claims experience
Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Master's Degree in Business Administration or a related field
Prior health insurance industry experience
Prior X12 experience
Working knowledge of Microsoft SQL or SAS
Prior CAS experience


Additional Information

This position will be located at the Humana Waterfront facility in Louisville, Kentucky but will temporarily be working remote.

Work at Home/Remote Requirements

Must ensure designated work area is free from distractions during work hours and virtual meetings

Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Scheduled Weekly Hours

40

Company info

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