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Job Field: Office Jobs
Location: BURLINGTON, WA
Salary: $-
Job Type: Part Time

JOB SUMMARY:

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               <td align="left"><font style="font-size: 100%;"><b>Work for us and let your voice be heard.<br> Join a company that's actively working to transform the health care system.<br> A place where employees are encouraged to speak up and share innovative ideas.<br> A community that passionately rejects the status quo.</b> <br><br> <b>Payment Review Analyst II <br> Burlington, WA; Seattle, WA; Tacoma, WA; Salem, OR; Portland, OR</b> <br><br> <b>Bring your analytical expertise to this role where you will:</b> <ul><li> Perform administrative and Payment Review activities per department policy, meeting department productivity and quality standards <li> Review activities assure that services and charges are appropriate and cost effective</ul> <br> This includes all activities of a Payment Review Analyst I and, in addition, reviews of Claims, Audits, and Customer Services Tasks. This review may include the evaluation of prior clinical determinations, assessment of coding accuracy and interpretation of Member and Provider contracts. Also provides feedback on medication and reimbursement policies, ensuring department processes are in compliance with these policies.<BR><br /><BR><b>Key qualifications and experience:</b> <ul><li> 3+ years of experience in claims processing or medical billing, plus an additional 2 years in Payment Review, Audit or comparable experience as a medical coder or bill auditor; alternatively, 5+ years of experience as a pharmacy technician in a hospital or similar setting <li> Certified by a professional organization (AAPC, AHIMA, etc.) as a coder or 2 years coding experience, or current Pharmacy Technician license <li> Proficiency with medical terminology, using desktop software (e.g., Microsoft Word, Excel, & Access, Lotus Notes) <li> Previous experience in report preparation <li> Math aptitude and analytical ability <li> Analytic skills in developing reports and analyzing results <li> Ability to use mature judgment and work independently without direct supervision <li> Knowledge of Blue Card and ITS processes <li> High school diploma or GED</ul> <br><br> Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. To search and apply for employment opportunities at Regence, visit us at <b>www.cambiahealth.com/careers</b> and Apply Online to <b>Job # 20280</b> <br><br> <b>Hard work and dedication are rewarded at Cambia.</b> We offer a competitive salary and a generous benefits package. <i>We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. Drug Screening and Background Check is required.</i></font></td>
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KEY REQUIREMENTS:

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36 Months