Lead- Encounter submission
HyderabadFull Time
ENCOUNTER SUBMISSION
Job description
Develop and maintain SQL queries to extract, validate, and
transform encounter data for submission.
Support the generation and submission of 837 institutional and professional
encounter files.
Review, analyze, and correct encounter rejections using 999,
277CA, and TA1 reports.
Collaborate with cross-functional teams (claims, configuration,
IT, compliance) to resolve data discrepancies.
Monitor encounter submission status and prepare regular reports
and dashboards.
Ensure data compliance with CMS, Medicaid guidelines and
state-specific submission requirements.
Maintain detailed documentation of ETL processes and business
rules used in encounter workflows.
Skills Required
Lead- Encounter submission
ITES/BPO/KPO
ITES/BPO/Customer Service
Bachelors degree
Full Time, Permanent
Key Skills
- ENCOUNTER SUBMISSION
Other Information
GO/JC/535/2025
Divya R
