Clinical Technician Jobs

About The Position

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
• 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
• 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.
• Access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company.

Nice To Haves

• Payment review or coding experience is a plus.
• Equivalent combination of education and experience may be considered.

Responsibilities

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

• 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.