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RN Specialist in Payment Integrity and Claims Optimization in Juneau, AK

Full-time
2 days ago

Job Description

A leading healthcare organization is seeking a dedicated Payment Integrity Clinician. In this vital role, you will review claims data to ensure adherence to payment integrity standards. Ideal candidates should possess an Associate's Degree in Nursing and hold a valid Registered Nurse certification. The perfect fit will have 3-5 years of clinical experience and a passion for optimizing claims and educating providers on best practices. As an office-based position, you'll play a key role in analyzing claims, promoting compliance with payment policies, and enhancing the overall quality of care. Join us in making a difference in healthcare while enjoying a competitive salary range of $57,700 to $107,800 annually. If you are committed to excellence in patient care and payment integrity, we encourage you to apply!
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Posted 2 days ago

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Job Details

Employment Type

Full-time

Required License

RN (Registered Nurse)

Work Setting

Office

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About Highmark

Highmark Ventures is the corporate venture arm of Highmark, one of America's leading health insurance organizations. Highmark Inc. and its affiliated health plans strive to provide high-quality, accessible, understandable, and affordable experiences for their customers. As the fourth-largest Blue Cross Blue Shield-affiliated organization, Highmark Inc. covers the insurance needs of 6.8 million members in multiple states. In addition to health insurance, they offer dental insurance and related services to both group and individual customers nationwide. Highmark Ventures is an integral part of Highmark Health, a health and wellness organization based in Pittsburgh, offering health insurance plans in Pennsylvania, Delaware, New York, and West Virginia.