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The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range.
This position will be dedicated to our Outpatient Pharmacy department. Hybrid remote work available after training period. Qualifications:
Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve.
Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction!
Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.
Salary Range: $28.24 - $42.56 / hour
The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range.
If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs
Pay for PRN positions is calculated differently than Full-Time, Regular Part-Time, and Part-Time positions. PRN Rates depend on the position and other factors, including years of experience, or shift commitment according to the department policy. PRN differential is added in certain positions.
Responsibilities: Position Overview:
Responsible for billing, collections and account follow-up on claims, denials, correspondence, documentation, and account inquiries. Responsible for Pharmacy collections and reconciling Pharmacy payments in Cardinal Central Pay and database to deposits in the bank.
This position will be dedicated to our Outpatient Pharmacy department. Hybrid remote work available after training period.
Minimum Qualifications:
- Associates Degree
- One (1) Year Medical Collection experience
- Two (2) years of pharmacy billing and collection experience
- Knowledge and experience with hospital based 340(b) programs
- Two (2) years of experience with MS Excel and MS Access
Preferred Qualifications:
- Bachelor’s Degree
- Experience with CPT, HCPCS and NDC codes, retail and specialty pharmacy
- Maintains complete knowledge of Managed Care, Medi-Cal, Medicare, and PPO payors to ensure compliance of specific guidelines and rules as well as ensuring CMH is being reimbursed by the
payor in accordance with governmental or contract terms - Computer literate to prepare reports and navigate effectively and efficiently in databases
- Knowledge of MS Excel functions VLOOKUP, SUMIFS, INDEX, MATCH, and Pivot tables
- Experience with data reconciliation and analysis
When it comes to quality, we're 5 Star!
Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve.
Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid Services (CMS)! This achievement represents thousands of people going the extra mile every day for our patients, and we are the ONLY hospital in Ventura County to earn this distinction!
Community Memorial Healthcare Benefits
To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way.
- Competitive Pay
- Shift Differentials
- In-House Registry Rates
- Fidelity 403(b) Retirement Plan
- Paid Time Off
- Medical (EPO/PPO), Dental, & Vision Insurance Coverage
- Voluntary Worksite Benefits
- Employee Assistance Program Available 24/7 (EAP)
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF)
- Recognition programs
- Employee service recognition events
- Home, Retail, Travel & Entertainment Discounts
- National Hospital Week and National Nurses Week celebrations
Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community.
“We are an AA/EEO/Veterans/Disabled Employer”
