Special Functions Clinician
PacificSource Health Plans(18 days ago)
About this role
The Special Functions Clinician at PacificSource is responsible for conducting audits, developing policies, analyzing claims data, and collaborating with medical and claims departments to ensure compliance, quality, and cost efficiency. They play a vital role in supporting healthcare operations through review, data analysis, and policy development within a healthcare insurance setting.
Required Skills
- Cpt Codes
- ICD-10
- Data Analytics
- Claims Management
- Quality Assurance
- Health Insurance
- Policy Development
- Reimbursement
- Utilization Management
Qualifications
- Registered Nurse or Clinically Licensed Behavioral Health Practitioner
- Bachelor’s or Master’s in Business, Healthcare Administration, or related field
- Certified Professional Coding within two years
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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