Posted in General Business 5 days ago.
Location: Albuquerque, New Mexico
This position is responsible for accurate and timely research of all encounter dispute types, timely processing of adjustments and acts as liaison between providers and internal claims departments. If adjustments are warranted and modification to the claim is determined to be required, acting within established parameters, this role requests the appropriate corrections into the claims system.
Responds to technical and claims inquiries from the client entailing the review of encounter records that were not accepted. Determines where the submission is failing in certain circumstances and defines the error codes associated with potential encounter issues
Network Encounter Data Specialist
GED (Required), High School (Required)
License and Certifications - Required
License and Certifications - Preferred
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their
position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
The Stepping Stones Group