Payment Integrity Clinician (Remote)
Highmark Health(5 days ago)
About this role
A Payment Integrity Nurse Audiologist/Qualifier is responsible for reviewing and analyzing health claims to ensure appropriate payments, compliance, and provider performance. They develop strategies to improve healthcare delivery and provider billing practices, utilizing their clinical and coding expertise to solve complex claims issues.
Required Skills
- RN
- Claims Review
- Medical Coding
- Healthcare Compliance
- Retrospective Review
- Provider Education
- Problem Solving
- Data Analysis
- Health Insurance
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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