Clinical Inpatient Pharmacy Technician - Audit & Review

Cambia Health Solutions

18d•$30 - $41•Remote

About The Position

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 conducts post-service audits to ensure billing accuracy, analyzes billings for consistency with medical records and reimbursement policies, and performs projects as requested by supervisors – all in service of making our members’ health journeys easier.

Requirements

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
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

Nice To Haves

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 federal, state, and accreditation regulations
Maintain organized reference documents and follow established policies and procedures
Meet production requirements and quality standards for all assigned work
Support department efficiency through flexibility and cross-training on various functions

Benefits

Competitive salary
Market-leading 401(k) with a significant company match
Bonus opportunities
Medical coverage
Dental coverage
Vision coverage
Mental health benefits
Annual employer contribution to a health savings account
Generous paid time off
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
Award-winning wellness programs
Employee Assistance Fund
Commute and parking benefits