Payment Integrity Clinician
Highmark Health•Juneau, AK
479d
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About The Position
The Payment Integrity Clinician at Highmark Health is responsible for ensuring the accuracy and appropriateness of claims data related to professional and facility providers. This role involves implementing effective Payment Integrity strategies through pre-payment and retrospective claims reviews, analyzing medical documentation, and identifying discrepancies in billing practices. The clinician will also educate providers, resolve quality issues, and enhance member satisfaction through strategic analysis and intervention.
