[Hiring] Clinical Inpatient Pharmacy Technician - Audit & Review @Cambia Health Solutions

Role Description

Work from home within Oregon, Washington, Idaho or Utah. Build a career with purpose. Join our cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Clinical Inpatient Pharmacy Technicians are living our mission to make health care easier and lives better. As a member of the Post Service Claim Review team, our Clinical Inpatient Pharmacy Technicians:

• Conduct post-service audits to ensure billing accuracy.
• Analyze billings for consistency with medical records and reimbursement policies.
• Perform projects as requested by supervisors.

Do you have a passion for pharmaceutical knowledge and ensuring billing accuracy through detailed post-service audits? Do you thrive in analyzing complex medical records and coordinating workflow activities as part of a quality-focused team? Then, this role may be the perfect fit.

Qualifications

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

Requirements

• Demonstrated competency in claim review and experience with billing and claims forms.
• In-depth knowledge of drugs and pharmaceuticals, including IV fluids and off-label medication uses.
• Strong problem-solving skills and demonstrated initiative.
• Ability to consistently meet productivity and quality standards with minimal support.
• Capability to work in fast-paced, multi-tasking environment with changing priorities.
• Effective oral and written communication skills with healthcare documentation familiarity.
• General computer skills including Microsoft Office, Outlook, and Internet search.

Benefits

• 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.