Clinical Inpatient Pharmacy Technician – Audit & Review

🕒 July 28

🥔 Idaho, Oregon, +2 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $28 - $46 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Cambia Health Solutions is a nonprofit, mission-driven healthcare company based in Portland, Oregon, that operates consumer-focused health care and health insurance businesses and invests in health innovation. It serves as the parent organization for the Regence family of health plans and runs initiatives and subsidiaries focused on improving care delivery, providing insurance products, and developing digital health tools and services.

📋 Description

• Prioritize work and coordinate activities to ensure timely record reviews and audits • Conduct post-service audits to ensure billing accuracy • Analyze billings for consistency with medical records and reimbursement policies • Verify charges align with medical records and reimbursement policies • Evaluate and interpret drug administration and treatment information • Ensure 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 • Support department efficiency through flexibility and cross-training on various functions

🎯 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 • Payment review or coding experience is a plus • 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 • Ability to work in a 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, with minimum upload speed of 5Mb and download speed of 10 Mb • Personal mobile device required for Multi-Factor Authentication • Background check required

🏖️ Benefits

• Bonus target of 10% • Medical, dental and vision coverage for employees and eligible family members, including mental health benefits • Annual employer contribution to a health savings account • Generous paid time off varying by role and tenure • 10 company-paid holidays • 401(k) company match • Potential discretionary retirement contribution based on company performance with no vesting period • Up to 12 weeks of paid parental time off after 12 months of continuous service • Wellness programs that reward participation • Employee Assistance Fund • Commute and parking benefits • Work-from-home options for most roles • Flexible work option with required wired internet connection • Employee resource groups • Cambia-supported community outreach programs