Remote Inpatient Pharmacy Claims Auditor

Cambia Health Solutions; Bend (OR); On-site; USD 41,328 - 56,481; Full time

Benefits offered by this job

Medical, dental and vision coverage

Health savings account

Paid time off and holidays

401(k) with company match

Paid parental leave

Job summary

Cambia Health Solutions invites applications for a Clinical Inpatient Pharmacy Technician role focused on post-service audits to ensure billing accuracy. You will analyze billings, review medical records, and support workflow to align charges with reimbursement policies.

Ideal candidates bring Pharmacy Technician certification, 2 years hospital or residential facility experience, and 3 years of health insurance claims or analytics. Remote work options available within specified states.

Qualifications

• Pharmacy Technician certification is required.
• 2 years of hospital or residential treatment facility experience.
• 3 years of health insurance claims or analytical experience.
• Equivalent combination of education and experience may be considered.
• Payment review or coding experience is a plus.

Responsibilities

• Prioritize work and coordinate activities to ensure timely record reviews and audits.
• Analyze billings to verify charges align with medical records and reimbursement policies.
• Evaluate and interpret drug administration and treatment information when needed.
• Ensure all work meets corporate standards and complies with regulations.
• Maintain organized reference documents and follow policies and procedures.
• Meet production and quality standards for all assigned work.
• Support department efficiency through cross-training on various functions.

Skills

Pharmacy knowledge

Claim review

Billing and claims forms

Communication skills

Microsoft Office

Medical record coordination

Education

Pharmacy Technician Certification

Tools

Microsoft Office

Outlook

Internet search

Job description

Cambia Health Solutions invites applications for a Clinical Inpatient Pharmacy Technician role focused on post-service audits to ensure billing accuracy. You will analyze billings, review medical records, and support workflow to align charges with reimbursement policies.

Ideal candidates bring Pharmacy Technician certification, 2 years hospital or residential facility experience, and 3 years of health insurance claims or analytics. Remote work options available within specified states.