Company Overview

Cloudmed, a leading healthcare technology company, helps health systems get healthier by ensuring they get paid for the care they provide. Using our powerful CloudmedAI™ Platform and deep subject matter expertise, we help clients solve the complex problem of accurate payments for hundreds of millions of patient interactions each year.

Our mission and our people make a difference by uncovering funds that can be used to hire doctors, nurses, and other essential practitioners, build healthcare centers such as birthing or cancer centers, and fund outreach programs to improve the health of local communities. Last year we helped over 3,100 hospital partners across the U.S. recover over $1.5 billion of underpaid or unidentified revenue.

Cloudmed is committed to creating an inclusive employee experience. We hire diverse professionals with all kinds of backgrounds and experiences, and together we work toward the best outcomes for our clients. Regardless of race, gender, gender identity, religion, sexual orientation, age, disability, or if you’re parenting the next generation of problem-solvers, we believe we work best when everyone feels free to bring their most authentic self to work. Cloudmed is a flexible, remote-enabled company.

Job Description

Cloudmed is looking for a 340B Claims Administrator with a background in medical records retrieval, physician office administrative tasks, or referral coordination who will review, audit, and complete tasks related to pharmacy claims and medical records. This position works within our 340B Recovery department and supports our clients' recovery of additional 340B funding. This position requires good time management skills and the ability to work independently.

The 340B Claims Administrator is expected to:

• Work to match provider specialty information with clinical information
• Assign various task statuses based on your review of data
• Review data in our product for accuracy
• Make outbound calls to physician offices to retrieve information
• Ensure the highest level of compliance when reviewing tasks
• Provide feedback on product development as needed
• Conduct ad hoc audits

Qualifications:

• Pharmacy and/or medical background preferred
• Knowledge of medical terminology, anatomy, and physiology
• Strong verbal and written communication skills.
• Knowledge of working in EMR system; Epic experience a plus.
• Ability to work in a flexible environment, adapting to changing priorities.
• Ability to work independently, as well as, in a team setting.
• Excellent organizational skills and strong attention to detail

Culture Fit

The culture at Cloudmed embraces those that demonstrate a deep passion for solving the problems of healthcare with enthusiasm for building positive working relationships and winning as a team. Take the work seriously, but don’t take yourself too seriously. Creating a strong workplace culture has been one of our staples, which we believe encourages and inspires employees to do their best. Join a fulfilling team of like-minded individuals who can get their work done, but still have fun!

Benefits

Cloudmed provides an extremely competitive benefit package that includes a 401(k) match, medical/dental/vision insurance and more.

Cloudmed is an Equal Opportunity Employer. Offers of employment are contingent on successful completion of background check and drug screening.