Medical Billing Specialist
Company: KabaFusion
Location: Cerritos
Posted on: June 22, 2022
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 1st 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 ProgramJOB SUMMARY:The Medical Billing
Specialist is responsible for accurate claims submission and
accurate payment of claims according to payor guidelines.DUTIES &
RESPONSIBILITIES:
- Exhibits the ability to prioritize, multi-task and meet daily
productivity and month-end closing deadlines.
- Understands eligibility, benefits, authorization verification
for treatments, complex payer contract terms, fee schedule for all
payers.
- Verifies that the services and products are correctly
authorized.
- Ensures accuracy and appropriateness of claim type, diagnosis
codes, place of service, procedure codes, HCPC or NDC units for
drugs, per diem, proper use of modifiers, and dates of service as
defined by government payers and contracted plans.
- Certifies the accuracy and completeness of payer requirements
prior to timely submission of clean claims to various insurance
companies, either through an electronic or hard copy.
- Manages Billing Que status code to track unbilled delivery
ticket(s) and maintains Reimbursement Pending Item Report,
facilitates resolution, and ensures timeliness of claims
submission.
- Actively communicates status of assigned work, escalated
billing concerns and challenges that could affect claims submission
and processing with the Supervisor/Manager.
- Collaborates with pharmacy to ensure rejected claim correction
is resolved timely and has payable status in Claims to Adjudicate
queue
- Manage Billing Que to create and process claims in accordance
with departmental expectations.
- All efforts to obtain the Billing Requests, documents from the
other respective departments will be recorded in the billing
note.
- 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 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
requirements.#corporate #billing #medicalbilling #reimbursement
#revcycle #revenuecyscle #CPT #hcpc #healthcare #infusion
#homeinfusion #kabafusion #nowhriingPI179446853
Keywords: KabaFusion, Cerritos , Medical Billing Specialist, Accounting, Auditing , Cerritos, California
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