Inpatient Pharmacy Technician - R-5362_10-4185

$55,744 - $71,968/Yr

Cambia - Pocatello, ID

Full-time - Entry Level

Remote - Pocatello, ID

Insurance Carriers and Related Activities

About the position

The Inpatient Pharmacy Technician at Cambia Health Solutions plays a crucial role in ensuring the accuracy of billed charges related to pharmaceuticals and medical treatments. This position involves conducting post-service audits and collaborating with a dedicated team to support the mission of creating a person-focused and economically sustainable healthcare system. The role requires a strong understanding of drugs and pharmaceuticals, as well as the ability to analyze billing information in accordance with medical records and reimbursement policies.

Responsibilities

• Prioritize work and coordinate activities to ensure timely audits according to the team's workflow.
• Analyze billings to determine consistency with medical records and reimbursement policies.
• Request additional information when necessary to support billing accuracy.
• Follow strict guidelines to ensure compliance with corporate standards and regulations.
• Organize and maintain reference documents and policies for easy access.
• Meet production requirements and quality standards in all assigned work.
• Contribute to departmental efficiency by being flexible and cross-trained on other functions.
• Perform projects as requested by the supervisor.

Requirements

• Licensed Practical Nurse (LPN) or Licensed Pharmacy Technician certification.
• 2 years of experience in a hospital or residential treatment facility.
• 3 years of health insurance claims experience or analytical experience, or equivalent education and experience.
• Experience in payment review or coding is a plus.
• Demonstrated competency in claim review and experience using billing and claims forms.
• In-depth knowledge of drugs and pharmaceuticals to identify incorrectly billed medications and IV fluids.
• Familiarity with healthcare documentation and effective communication skills.
• Strong problem-solving skills and initiative.
• Ability to meet productivity and quality standards with minimal support.
• General computer skills including Microsoft Office and Internet search.

Nice-to-haves

• Experience in payment review or coding.
• Familiarity with health care documentation.

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, plus 10 company-paid holidays.
• Market-leading retirement plan with a company match on 401(k) contributions and potential discretionary contributions.
• Up to 12 weeks of paid parental time off after 12 months of continuous service.
• Award-winning wellness programs that reward participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.