Adjustment Clerk jobs in Oregon

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)

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Risk Adjustment Provider Educator
  • Cambia Health Solutions
  • Portland, OR 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: Qualifications: 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 Skills and Attributes: 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. What You Will Do at Cambia: 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 The expected hiring range for this position is 90k-100k annually depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%.  The current full salary range for this role is $77k Low Range / $97k MRP / $127k High Range annually. 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. We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. 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. Learn more about our 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. Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans. Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices. Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
  • 5 Days Ago

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Medical Coder - Risk Adjustment
  • Cambia Health Solutions
  • Beaverton, OR 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...
  • 5 Days Ago

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Medical Coder - Risk Adjustment
  • Cambia Health Solutions
  • Bend, OR 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...
  • 5 Days Ago

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Risk Adjustment Provider Educator
  • Cambia Health Solutions
  • Bend, OR FULL_TIME
  • RISK ADJUSTMENT PROVIDER EDUCATORWork 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 sustainab...
  • 1 Day Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Dallas, OR PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in Polk County. This position offers certified Nur...
  • 2 Days Ago

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Nurse Practitioner NP or Physician Assistant PA-C, Part-Time, HRA
  • Hueman Risk Adjustment Solutions
  • Medford, OR PART_TIME
  • Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in Jackson County. This position offers certified ...
  • 3 Days Ago

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Adjustment Clerk I
  • Employnet Workforce Solutions
  • The Colony, TX
  • The Adjustments Clerk I is responsible for the daily requests of credits and POD's received from customers, sales repres...
  • 6/11/2024 12:00:00 AM

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Senior Accounting Supervisor
  • Smart IT Frame LLC
  • Bozeman, MT
  • Senior Accounting Supervisor //Permanent Full Time Facility Name: Bozeman Direct Hire Facility Address: Bozman, MT 59715...
  • 6/10/2024 12:00:00 AM

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Senior Accounting Supervisor
  • Generis Tek Inc
  • Bozeman, MT
  • Please Contact : To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Sonal Manglani at e...
  • 6/10/2024 12:00:00 AM

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FL Smithe Envelope Machine Adjustor
  • Northeastern Envelope Co.
  • Old Forge, PA
  • Job Description Job Description We are seeking an Envelope Machine Adjustor to join our team! You will operate adjust an...
  • 6/8/2024 12:00:00 AM

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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

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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...
  • 6/7/2024 12:00:00 AM

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Auto Damage Adjustor in Training
  • Government Employees Insurance Company
  • Honolulu, HI
  • Auto Damage Trainee Kahului, Maui Salary: $28.29 per hour / $57,000 annually Accidents can be scary, and our Auto Damage...
  • 6/7/2024 12:00:00 AM

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Auto Damage Adjustor - Trainee
  • Government Employees Insurance Company
  • Honolulu, HI
  • Auto Damage Trainee Kahului, Maui Salary: $28.29 per hour / $57,000 annually Accidents can be scary, and our Auto Damage...
  • 6/7/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Adjustment Clerk jobs
$33,671 to $41,810

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