Clinical Services Intake Analyst I

Cambia Health Solutions; Idaho; Remote; USD 25,000 - 40,000; Full time

Job summary

Cambia Health Solutions is seeking a Clinical Services Intake Analyst I to act as the initial intake for the Clinical Service Operations team, handling UM, CM, DM, and appeals with HIPAA compliance. The role emphasizes adaptability, collaboration, and accurate documentation.

You will manage workloads, research incoming documents, and support urgent appeals while maintaining quality standards. A high school diploma and one year of relevant experience are required, with remote work options

Qualifications

• High School Diploma or GED with 1 year of related office experience.
• Experience in Regence Customer Service or equivalent.
• Strong communication and basic writing skills.

Responsibilities

• Research incoming documents related to UM, CM, DM, and appeals using appropriate tools.
• Identify the correct work type and workflow based on benefits and program knowledge.
• Distribute workloads to meet deadlines and manage high volumes of inquiries.
• Document with HIPAA compliance and privacy requirements.
• Multitask and prioritize in a fast-paced environment.
• Support with urgent/expedited appeals on long weekends.

Skills

Effective communication

Basic writing

Microsoft Office

General organization

Data entry

Medical terminology

Adaptability

Team collaboration

AI tools familiarity

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Work from home within Arkansas, Idaho, Oregon, Utah, and Washington. Preference will be given to current employees and candidates who reside in Arkansas, Idaho, or Utah.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For

Every day, Cambia's dedicated team of Clinical Services Intake Analyst I is living our mission to make health care easier and lives better. As a member of the Clinical Service Operations team, our Clinical Services Intake Analyst I acts as the initial point of receipt for all incoming work for the Clinical Service Operations teams - all in service of creating a person-focused health care experience.

Do you enjoy being adaptable and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• The Clinical Intake Analyst I would have a High School Diploma or GED and general office experience plus 1 year of experience in Regence Customer Service or equivalent combination of education and experience.

Skills And Attributes

• Effective communication and basic writing skills.
• General computer knowledge (e.g. Microsoft Office products such as Word, Excel, Outlook, and Internet search).
• General organization, data entry and administrative skills.
• Basic knowledge of medical terminology. Familiarity with health care benefits, systems and documentation.
• Ability to evaluate clinical documents and forward to others for resolution.
• Ability to adapt to a fast-paced environment and learn, retain, and interpret new or evolving information, and processes.
• Demonstrated ability to work with limited supervision to prioritize work, meet deadlines and achieve operational standards.
• Ability to work effectively in a team environment.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

What You Will Do At Cambia

• Uses appropriate tools and systems to research incoming documents related to utilization management (UM), case management (CM), disease management (DM), provider and member appeals.
• Uses knowledge of member benefits, UM, CM, DM, and appeals and research to correctly identify the correct work type and appropriate workflow process.
• Manages workloads by distributing the work in a way that work can be completed within necessary timeframes.
• Images documentation to comply with HIPAA and privacy laws.
• Manages high volumes of inquiries on a daily basis; is able to multitask, prioritizing and asking for assistance as necessary.
• Adheres to department standards for quality, timeliness, and department processes and procedures.
• Supports Performance Guarantees by providing coverage for urgent/expedited appeals on long weekends.
• Performs basic administrative functions such as: Requesting maintenance or repairs for office equipment; Maintaining inventory, supplies and files; and, Assisting with mailing correspondence.

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

• National pay structure - applies to the Boise, Portland, Salem, Seattle/Renton/Tacoma, Burlington, Vancouver, and Salt Lake City metro areas: The full hourly range is $20.00 - $32.50 per hour and the bonus target is 5%.
• Regional pay structure - applies to Arkansas, and to Idaho, Oregon, Washington, and Utah locations outside the metro areas listed above: The full hourly range is $18.00 - $29.30 per hour and the bonus target is 5%.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, You Can

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

Benefits

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Learn More About Our Benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.