Medical Billing Specialist
Posted on: June 23, 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:
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
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 #billing #medicalbilling #reimbursement #revcycle
#revenuecyscle #CPT #hcpc #healthcare #infusion #homeinfusion
Keywords: KabaFusion, Cerritos , Medical Billing Specialist, Healthcare , Cerritos, California
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