Reimbursement Manager (Billing)
Posted on: May 14, 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:
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
Employee Referral Program
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
Analyze and rectify claims issues with payers by timely follow u of
Ensures accuracy and completeness of payer requirements prior to
timely submission of claims to Health Plans, either electronic or
Assures required authorizations and medical documentation forms are
in correspondence with claim submission for quick turn-around
Reviews and assures claims are processed and paid in full according
to contractual agreements.
Ensures revenue is booked according to appropriate contract
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
Protects patient health information by following regulations for
Ensures daily productivity is met and monthly closing goals are
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 billing
#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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