Reimbursement Audit Representative
Company: KabaFusion
Location: Cerritos
Posted on: June 18, 2022
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Job Description:
KabaFusion is a home infusion company with exceptional
employees!
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:
Reimbursement Audit Representative is responsible for evaluating,
tracking, auditing, and monitoring processes as they relate to
billing to assure accurate claims and compliance.
DUTIES & RESPONSIBILITIES:
Acts as a liaison between the reimbursement department and various
other departments throughout the organization to audit, monitor,
track and resolve reimbursement issues.
Responsible for managing audit request from payers assuring all
required documentation is on file and submitted by the deadline for
successful results.
Responsible for tracking and monitoring all Payer request audit for
the entire organization and reporting to Director of Reimbursement
or other management team members.
Responsible for auditing and managing the Billing Review of new
accounts for accurate initial set up of patient accounts with
insurance, eligibility, authorization, Start of Care forms,
diagnosis, and prescriptions.
Audit's pharmacy online claims for accuracy and correct claim
submission for accurate reimbursement
Assures billing processes are compliant with payer requirement for
Government, Commercial Health Plans and Medical Group payers.
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.
PREFERRED SKILLS & EXPERIENCE:
High School Diploma or equivalent education.
Candidate must be experienced with a minimum of 1-2 years (not
including school or externship) in Home Infusion.
Licensed Pharmacy Technician (preferred)
Knowledge and understanding of HCPC and CPT codes
#corporate #reimbursement #audit #infusion #homeinfusion
#healthcare #cpt #hcpc #managedcare #payors #reimbursement #claims
#collections #kabafusion #nowhiring
PI179445659
Keywords: KabaFusion, Cerritos , Reimbursement Audit Representative, Accounting, Auditing , Cerritos, California
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here to apply!
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