Adjustment Clerk jobs in Washington
Adjustment Clerk reviews and follows up on customer complaints regarding account balances and uncredited items. Analyzes associated documents and makes necessary adjustments to accounts and/or recommendations to resolve customer issues. Being an Adjustment Clerk communicates results of findings to customer. Requires a high school diploma or its equivalent. Additionally, Adjustment Clerk typically reports to a supervisor or manager. The Adjustment Clerk possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Adjustment Clerk jobs
Risk Adjustment Provider Educator
- Cambia Health Solutions
-
Burlington, WA
FULL_TIME
-
RISK ADJUSTMENT PROVIDER EDUCATOR
Work from home within Oregon, Washington, Idaho or Utah (WA PREFERRED)
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For
Every day, Cambia’s dedicated team of Risk Adjustment Operations is living our mission to make health care easier and lives better. As a member of the Risk Adjustment Operations Team, as our Risk Adjustment Provider Educator, you'll develop communications, content, and engage network providers to support provider education objectives all in service of making our members’ health journeys easier.
Are you a creative communicator with a passion for educating healthcare providers? Do you have experience in developing engaging content and strategic communications? Then this role may be the perfect fit.
Preferred Key Experience- Risk Adjustment Experience (MUST HAVE)
- Risk Coding - CRC Certification (MUST HAVE)
- Network Contracts experience
- Value Based Arrangements
- Medical Advantage Knowledge
What You Bring to Cambia:- Bachelor’s degree in a related field
- Minimum 5 years of Medicare Advantage or Commercial risk adjustment experience including
- Minimum 4 years of experience in a HCC Coding Audit or Network Management role
- Equivalent combination of education and experience.
- CRC credentials a must
- Strong consulting, communication (written and verbal), influencing, and facilitation skills
- Proficiency in using Microsoft Office tools and proven ability to display analytical data and research findings for effective presentations and improved decision making.
- Knowledge of health care industry trends, provider relations, and risk adjustment HCC coding, ICD10 diagnosis coding.
- Knowledge of health insurance preferred, including medical and dental terminology, procedural and diagnosis coding, reimbursement methodologies and various provider network arrangements.
- Develops, coordinates, and drives risk adjustment education initiatives with network providers and acts as primary point of contact for assigned key provider engagements across Commercial and Medicare lines of business
- Coordinate outreach, communication, training, and education for providers that have been identified through various operational reporting channels as a candidate for provider education engagement
- Works with key leaders within the provider organization to engage with and drive successful performance of the provider engagement.
- Assists senior leadership with special projects related to advancing Cambia’s value based and innovative provider relationships.
- Participates in definition of project deliverables, providing consultation, recommendations, and solutions, reviewing project mandates and directives to determine overall provider engagement approach
- Leads, under the direction of management, in design and implementation of initiative related administrative policies and procedures and provides guidance and direction to the work team
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100 year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, You Can- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
Benefits
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:- 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 in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
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 background check is 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. - 4 Days Ago
Medical Coder - Risk Adjustment
- Cambia Health Solutions
-
Burlington, WA
FULL_TIME
- Medical Coder – Risk Adjustment (Risk Adjustment Auditor II)Work from home within Oregon, Washington, Idaho or UtahBuild a career with purpose. Join our Cause to create a person-focused and economical...
- 7 Days Ago
Medical Coder - Risk Adjustment
- Cambia Health Solutions
-
Yakima, WA
FULL_TIME
- Medical Coder – Risk Adjustment (Risk Adjustment Auditor II)Work from home within Oregon, Washington, Idaho or UtahBuild a career with purpose. Join our Cause to create a person-focused and economical...
- 8 Days Ago
Medical Coder - Risk Adjustment
- Cambia Health Solutions
-
Renton, WA
FULL_TIME
- Medical Coder – Risk Adjustment (Risk Adjustment Auditor II) Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economic...
- 19 Days Ago
Sr Risk Adjustment Coding Specialist
- CHPW Careers
-
Seattle, WA
FULL_TIME
- Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment witho...
- 7 Days Ago
Medical Coder - Risk Adjustment - Remote | WFH
- Get It Recruit - Healthcare
-
Renton, WA
FULL_TIME
- We are committed to building a healthier, more compassionate healthcare system. We're seeking dedicated individuals to join our team as Medical Coding Specialists in Risk Adjustment. If you're passion...
- 9 Days Ago
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FL Smithe Envelope Machine Adjustor
- Northeastern Envelope Co.
-
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- Job Description Job Description We are seeking an Envelope Machine Adjustor to join our team! You will operate adjust an...
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Auto Damage Adjustor - Trainee
- Government Employees Insurance Company
-
Minneapolis, MN
- Auto Damage Trainee Minneapolis, MN Salary: $26.80 per hour / $54,000 annually Accidents can be scary, and our Auto Dama...
- 6/7/2024 12:00:00 AM
Auto Damage Adjustor in Training
- Government Employees Insurance Company
-
Minneapolis, MN
- Auto Damage Trainee Minneapolis, MN Salary: $26.80 per hour / $54,000 annually Accidents can be scary, and our Auto Dama...
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Entry Level Auto Damage Adjustor
- Government Employees Insurance Company
-
Minneapolis, MN
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Adjuster
- ProAmpac
-
Forest City, NC
- Lead by example, with a positive outlook, through practice and work habit, a desire to follow all policies and procedure...
- 4/30/2024 12:00:00 AM
About Washington
Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$35,726 to $44,361
Most Popular Cities in Washington for Adjustment Clerk Jobs
What does an Adjustment Clerk do?
Adjustment Clerk in Salisbury, NC
The affected positions are the city's public-services director and the clerks for city council, the mayor's court and the police department.
January 10, 2020
Adjustment Clerk in Altus, OK
Bookkeeping, accounting, and auditing clerks produce financial records for organizations.
February 09, 2020
Adjustment Clerk in Davenport, IA
This Being an Adjustment Clerk is Like Riding a Bike Funny Job Unisex T Shirt is provided on quality cotton.
December 30, 2019