Reimbursement Manager (Billing)
Posted on: May 9, 2022
Come join an exciting and innovative company that puts the
"care" back in healthcare!
KabaFusion is a home infusion company with a national footprint. We
opened our first pharmacy in 2010 in Southern California and now
have 21 pharmacies and 24 nursing offices with a focus on IVIg,
SCIg, acute infusion, and nutritional therapies.
KabaFusion is a patient-focused national infusion therapy company
providing Home Infusion Therapy Nursing Visits. KabaFusion
continues to strive to set the standard of quality, compassionate
nursing care to our patients and their families in the home
setting. Our nurses are the very best experienced professionals in
What we offer:
Competitive compensation Benefits start on your 1 st day of
employment 401K w/ 4% Match - no waiting or vesting period PTO /
Floating Holidays / Paid Holidays Company Paid Life Insurance 3
Employee Assistance Programs (EAP) Emerging Leaders Training
Program Perks--- includes discounts on travel, cell phone,
clothing, and more--- Employee Referral Program JOB SUMMARY:
Reimbursement Manager oversees Reimbursement Department ensuring
accurate claims submission and accurate payment of claims according
to health plan guidelines.
DUTIES & RESPONSIBILITIES:
Assures billing processes are compliant with payer requirement for
Government, Commercial Health Plans and Medical Group payers.
Assures accurate billing of coding and units required by payer and
therapy type. Analyze and rectify claims issues with payers by
timely follow u of claim status/payment. Ensures accuracy and
completeness of payer requirements prior to timely submission of
claims to Health Plans, either electronic or hard copy. Assures
required authorizations and medical documentation forms are in
correspondence with claim submission for quick turn-around time.
Reviews and assures claims are processed and paid in full according
to contractual agreements. Ensures revenue is booked according to
appropriate contract allowable. Communicates with branches and
other departments to assure resolution of reimbursement issues.
Communicates and addresses reimbursement issues with management for
resolution in a timely manner. Must be able to prioritize,
multi-task, meet goals and deadlines. Protects patient health
information by following regulations for HIPAA compliance. Ensures
daily productivity is met and monthly closing goals are met.
PREFERRED EDUCATION & EXPERIENCE:
Bachelor's degree in business/ related field or education and
experience to equal Bachelor's degree. Candidate must be
experienced with a minimum of 5 years (not including school or
externship) in Home Infusion. Knowledge and understanding of HCPC
and CPT codes Strong understanding of insurance terms, medical
terminology, pricing methodologies for commercial and government
#corporate #billing #medical #healthecare #homeinfusion #infusion
#kabafusion #nowhiring #HCPC #CPTcodes #insurance #payors
Keywords: KabaFusion, Cerritos , Reimbursement Manager (Billing), Accounting, Auditing , Cerritos, California
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