Cambia Health Solutions

Pricing and Reimbursement Analyst I or II, DOE

Cambia Health Solutions · Full Time · 2 days ago

Cambia Health Solutions

🌎 United States 💵 $65000 - $107K per year ⭐ 2-5 yrs exp 💼 Others

The analyst will build, maintain, and implement healthcare provider reimbursement rates and contract payment terms. They will also research and resolve pricing discrepancies while collaborating with internal departments to ensure accurate claims processing.

sql security medical microsoft-office operations leadership hiring

APPLY

Clinical Inpatient Pharmacy Technician - Audit & Review

Cambia Health Solutions · Full Time · 8 days ago

Cambia Health Solutions

🌎 United Kingdom, United States 💵 $30.3 - $40.9 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Inpatient Pharmacy Technician conducts post-service audits to ensure billing accuracy and analyzes billings for consistency with medical records and reimbursement policies. They also prioritize work to ensure timely record reviews and maintain compliance with federal, state, and accreditation regulations.

insurance security medical communication hiring documentation

APPLY

Payment Integrity Nurse I

Cambia Health Solutions · Full Time · 11 days ago

Cambia Health Solutions

🌎 United Kingdom, United States 💵 $72000 - $117K per year ⭐ 2-5 yrs exp 💼 Healthcare

Conducts post-service clinical reviews of claims to ensure accurate coding and appropriate reimbursement based on medical policies. Collaborates with physician advisors and other departments to resolve adjudication issues and maintain healthcare system integrity.

customer-service security math medical communication hiring behavioral-health documentation compliance

APPLY

Provider Contract Management Specialist

Cambia Health Solutions · Full Time · 20 days ago

Cambia Health Solutions

🌎 United Kingdom, United States 💵 $28.4 - $46.3 per hour ⭐ 2-5 yrs exp 💼 Others

The specialist manages the development, execution, and maintenance of healthcare provider contracts and ensures regulatory compliance through accurate filing. They also provide system training to internal teams and maintain the integrity of the provider contract database.

insurance security medical communication reporting microsoft-office operations training hiring testing mentoring compliance

APPLY

Escheatment Accountant

Cambia Health Solutions · Full Time · 20 days ago

Cambia Health Solutions

🌎 United States 💵 $20.49 - $30.82 per hour ⭐ 2-5 yrs exp 💼 Finance

The Escheatment Accountant manages the disbursement of company payments and ensures compliance with state abandoned property laws. This includes researching state regulations, managing due diligence letters, and preparing state filings to protect corporate funds.

accounting erp customer-service security medical reporting hiring documentation organization

APPLY

Payables Accountant

Cambia Health Solutions · Full Time · 20 days ago

Cambia Health Solutions

🌎 United Kingdom, United States 💵 $19.4 - $34.9 per hour ⭐ 2-5 yrs exp 💼 Finance

The Payables Accountant manages payment activities to suppliers, providers, and members, including auditing invoices and processing EFTs. They are also responsible for researching payment inquiries and ensuring financial policies and controls are maintained.

accounting customer-service security medical reporting hiring documentation

APPLY

Payment Integrity Project Coordinator

Cambia Health Solutions · Full Time · a month ago

Cambia Health Solutions

🌎 United States 💵 $23.91 - $42.2 per hour ⭐ 2-5 yrs exp 💼 Product

Supports the initiation, planning, execution, and closing of payment integrity projects in alignment with Enterprise Project Management Office standards. Coordinates project schedules, budgets, and documentation while facilitating meetings and reporting status to leadership.

APPLY

Temporary Customer Service Professional I

Cambia Health Solutions · Full Time · 2 months ago

Cambia Health Solutions

🌎 United States 💵 $19 - $22.25 per hour ⭐ 0-2 yrs exp 💼 Support

Act as a guide and advocate for members and providers by answering inquiries regarding health insurance benefits, claims, and eligibility. Conduct research to resolve complex issues and provide accurate, compliant information to callers.

APPLY

Risk Adjustment Auditor II

Cambia Health Solutions · Full Time · 5 months ago

Cambia Health Solutions

🌎 United States 💵 $68900 - $93150 per year ⭐ 2-5 yrs exp 💼 Finance

Risk Adjustment Auditors perform retrospective and prospective chart reviews to verify the accuracy and completeness of provider-reported diagnosis codes based on medical record documentation, ensuring accurate risk adjustment reporting. They also identify coding and documentation trends and collaborate with Provider Education Consultants to develop intervention strategies.

APPLY