Claims Refund Adjust Analyst I
Cambia Health Solutions

Job Info

---

Primary Job Purpose

Open to candidates within Oregon, Washington, Idaho and Utah

Claims Refund Adjustment Analyst I responds to a variety of requests for refunds and adjustments. Verify information and pursue payments from members and providers through negotiating payment plans. Capture and record accurate recovery savings in a timely manner.

General Functions and Outcomes

• Analyze data and make decisions based on researching the facts.
• Respond to a variety of request for refunds and adjustments.
• Verify information and pursue payments from members and providers.
• Capture and record accurate recovery savings in a timely manner.
• Contribute to the efficiency of the department by being flexible and cross-trained.
• Communicate effectively over the phone.

Minimum Requirements

• Knowledge of medical terminology and ICD-9/CPT coding.
• Typing 30 wpm keyboarding skills or 8,500 keystrokes per hour with 95% accuracy.
• 10 key ability and proficiency with calculator.
• PC experience and knowledge of Word and Excel or similar Windows software.
• Ability to perform basic math calculations.
• Demonstrated excellent customer service skills.
• Ability to communicate effectively orally and in writing.
• Ability to organize work and set priorities to meet deadlines.
• Decision making ability.
• Ability to listen and communicate appropriately while providing service to the community, members, member representatives in a positive and professional manner.

Normally to be proficient in the competencies listed above

Claims Refund Adjustment Analyst I would have a high school diploma or equivalent, 2 years of claims processing experience, or equivalent combination of education and experience.

This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check are required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

This job has expired.