Clinical Inpatient Pharmacy Technician - Audit & Review

Clinical Inpatient Pharmacy Technician - Audit & Review

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 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.

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

Skills and Attributes:

• 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

• 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

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

• Oregon, Washington, Utah, and Idaho:
  The expected hiring range is $30.30 - $40.90 an hour, the full salary range is $28.40 - $46.30 an hour and the bonus target is 10%.

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.

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.

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…