Inpatient Pharmacy Technician

$55,744 - $71,968/Yr

Cambia - Spokane, WA

Full-time - Entry Level

Remote - Spokane, WA

Insurance Carriers and Related Activities

About the position

The Inpatient Pharmacy Technician at Cambia Health 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 utilizing knowledge of drugs to support the creation of an economically sustainable healthcare system. The technician will work collaboratively within a dedicated team to enhance healthcare delivery and improve patient outcomes.

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, identifying additional information as needed.
• Follow strict guidelines to ensure compliance with corporate standards and regulations.
• Organize and maintain reference documents and policies for accuracy and quality assurance.
• 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 or analytical experience, or an equivalent combination of 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, including identification of incorrectly billed medications and non-FDA approved treatments.
• Familiarity with healthcare documentation and effective communication skills.
• Strong problem-solving skills and 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 insurance claims processing.

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 employee 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.