Medical Billing Specialist
Posted on: September 21, 2022
Come join an exciting and innovative company that puts the
"care" back in healthcare!
KabaFusion is a home infusion company with a national network of
pharmacist owned pharmacies with the ability to service 40+ states.
While we are known for our expertise in IVIg and SCIg, we also
provide acute infusion and nutritional therapies.
Where KabaFusion truly excels, is in its approach to patient care
and positive clinical outcomes. With our dedicated and highly
skilled clinical staff and in-house nursing with 24 hour on-call
service; we are well equipped to care for our patients.
What we offer:
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, STD, LTD
3 Employee Assistance Programs (EAP)
Learning & Development Programs
Perks--- includes discounts on travel, cell phone, clothing, and
Employee Referral Program
Experience what being a part of the KabaFusion family feels
The Medical Billing Specialist is responsible for accurate claims
submission and accurate payment of claims according to payor
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
Verifies that the services and products are correctly
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
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
Manage Billing Que to create and process claims in accordance with
All efforts to obtain the Billing Requests, documents from the
other respective departments will be recorded in the billing
Protects patient health information by following regulations for
PREFERRED SKILLS & EXPERIENCE:
High School Diploma or equivalent education.
Candidate must be experienced with a minimum of 1-2 years in Home
Knowledge and understanding of HCPC and CPT codes
Strong understanding of insurance terms, medical terminology,
pricing methodologies for commercial and government billing
#corporate #kabafusion #nowhriing
Keywords: KabaFusion, Cerritos , Medical Billing Specialist, Accounting, Auditing , Cerritos, California
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