Reimbursement - Payor Collections
Posted on: May 9, 2022
KabaFusion is a home infusion company with exceptional
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 in 15 states with a focus on IVIg, SCIg, acute
infusion, and nutritional therapies.
Our success is the result of teamwork from our dedicated staff who
truly believe in putting the "care" back in healthcare. A career at
KabaFusion means joining a team that lives by its values and
empowers team members to make a difference!
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:
The Collections Analyst is responsible for the accurate
resubmission of unpaid claims and the collection of payment of
those claims according to the payor's guidelines.
DUTIES & RESPONSIBILITIES:
Analyze and rectify claims issues with payers by timely follow up
of claim status/payment. 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. Handles collections calls promptly with professionalism to
payers and/or patients. 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 and monthly closing goals are met.
Meet and Maintain Cash Collection Goals and Metrics on a daily and
monthly basis. Timely Review of Remittance Advice/Correspondence;
take appropriate steps to appeal non-payment of claims. Utilize
payer websites as resources to manage claim status and resolution.
Report to Manager on any reimbursement issues resulting in
non-payment. PREFERRED SKILLS & EXPERIENCE:
Strong understanding of insurance terms, medical terminology,
pricing methodologies for commercial and government billing
requirements. Knowledge and understanding of HCPC and CPT codes
High School Diploma or equivalent education. Minimum 1 year of
experience collecting from payors (health plans, medical groups and
pharmacy benefits managers)
#corporate #collections #healthplan #medicalgroups #pbm #finance
#reimbursement #kabafusion #nowhiring
Keywords: KabaFusion, Cerritos , Reimbursement - Payor Collections, Accounting, Auditing , Cerritos, California
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