Top 504 Specialist, it Jobs in Okemos, Mi

Encounter Data Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
5d
Compliance Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Bachelor's degree
- Dental insurance
- Opportunities for advancement
User Support Specialist I
State of Michigan —Lansing, MI
- $43,352 - $59,787 a year
- Full-time
- Computer science
- Computer Science
- Computer literacy
Specialist, IT
LG Energy Solution Michigan, Inc. —Lansing, MI
- Computer science
- Computer Science
- English
Quick Apply
Helpdesk Technician - 3rd Shift - IT Technician 7-E9
State of Michigan —Dimondale, MI
- $23.23 - $31.91 an hour
- Full-time
- US work authorization
- 1 year
- Associate's degree
- Paid parental leave
- Health savings account
9d
Help Desk Technician - IT Technician 7-E9
State of Michigan —Dimondale, MI
- $23.23 - $31.91 an hour
- Full-time
- Mid-level
- US work authorization
- 1 year
- Paid parental leave
- Health savings account
1d
Desktop Support Analyst
Aristocrat —Lansing, MI
- $18.50 - $34.37 an hour
- Full-time
- High school diploma or GED
- Travel
- US work authorization
- Health insurance
- Dental insurance
4d
SENIOR IT PROJECT COORDINATOR 12
State of Michigan —Lansing, MI
- $33.45 - $48.09 an hour
- Full-time
- Hybrid work
- Computer Science
- High school
- Customer service
- Paid parental leave
- Health savings account
3d
INFORMATION TECHNOLOGY PROJECT MANAGER
State of Michigan —Lansing, MI
- $37.62 - $54.99 an hour
- Full-time
- Hybrid work
- Computer Science
- Office
- Bachelor's degree
- Paid parental leave
- Health savings account
3d
Level II Helpdesk Technician
Adna Technologies —Lansing, MI
- $54,000 - $59,200 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Profit sharing
- Paid holidays
Quick Apply
IT System Administrator
Burcham Hills —East Lansing, MI
- $30 - $35 an hour
- Full-time
- Mid-level
- 3 years
- Free parking
- Tuition reimbursement
Quick Apply
Application Support assistant
Alliance Payment Solutions, Inc. —Okemos, MI
- $20 an hour
- Part-time
- Background check
- Mid-level
- Office
- Paid time off
Quick Apply
3d
Remote Processing Specialist
CLEAResult Consulting Inc. —Lansing, MI
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
4d
Professional Aide
Michigan State University —East Lansing, MI
- $12.48 - $30.00 an hour
- Temporary
- Remote
- Microsoft Outlook
- No experience needed
- Ability to lift 50 pounds
Occupational Therapist Specialist CSDD
Community Mental Health Authority —Lansing, MI
- $31.17 - $34.87 an hour
- Full-time
- Background check
- Clean driving record
- Writing skills
- Continuing education credits
- Mileage reimbursement
Quick Apply
Licensed Professional Counselor
Headway —Michigan
- Up to $120.94 an hour
- Remote
- Private practice
- Master's degree
- Senior level
Restoration Specialist
McCardel Restoration —East Lansing, MI
- $20 - $28 an hour
- Overtime
- Construction site
- Mid-level
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Certified Payroll Specialist
The Christman Company —Lansing, MI
- Extended hours
- Background check
- HIPAA
- Mid-level
Quick Apply
4d
Safety Specialist
TSI America —Lansing, MI
- $54,000 - $70,000 a year
- 8 hour shift
- Construction site
- Ability to walk for extended periods
- No background check
- Paid sick time
Quick Apply
3d
Collection Specialist
Michigan Soft Water —East Lansing, MI
- $15 - $17 an hour
- Part-time
- Microsoft Excel
- Customer service
- Microsoft Office
Quick Apply

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Encounter Data Specialist

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time
5 days ago

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Benefits administration
Word processing
Spreadsheets
Bachelor's degree
Desktop applications
Productivity software
Health insurance management

Full Job Description

Job Title:

Encounter Data Specialist

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Analyzes, corrects, and recommends solutions to internal and external stakeholders regarding encounter data issues, policies, processes, requirements, and records.

Primary Job Responsibilities:

Corrects rejected encounters in compliance with internal and external processing guidelines and best practices.
Researches, reviews, and interprets encounter data to identify potential issues and address rejected records.
Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
Develops, maintains, and updates all encounter policies and procedures.
Monitors related processes to ensure internal and external requirements are met, partners with functional areas to maintain claims system support tables, and performs data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
Conducts root cause analysis for encounter errors reviews results, processes, and/or system programming with other departments to minimize repeat issues.
Creates and maintains an encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
Analyzes trends of rejected encounters, identifies opportunities for improvement, and recommends solutions.
Develops and tests internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
Serves as a subject matter expert and internal consultant on encounter data, policies, processes, corrections, and provides training to internal stakeholders regarding regulatory changes.
Leads and participates in encounter data and compliance meetings as assigned.
Oversees compliance with data integrity policies for all system configurations.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration or a related field and five years of experience identifying, analyzing, or resolving business, system, or process issues in the administration of health plan benefits. Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; and the ability to identify and resolve complex problems using independent judgement.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

specialist, it jobs in okemos, mi

Encounter Data Specialist

Compliance Specialist

User Support Specialist I

Specialist, IT

Helpdesk Technician - 3rd Shift - IT Technician 7-E9

Help Desk Technician - IT Technician 7-E9

Desktop Support Analyst

SENIOR IT PROJECT COORDINATOR 12

INFORMATION TECHNOLOGY PROJECT MANAGER

Level II Helpdesk Technician

IT System Administrator

Application Support assistant

Remote Processing Specialist

Professional Aide

Occupational Therapist Specialist CSDD

Licensed Professional Counselor

Restoration Specialist

Certified Payroll Specialist

Safety Specialist

Collection Specialist

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