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re-Authorization Representative

Company: KabaFusion
Location: Cerritos
Posted on: January 11, 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 19 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 Program

JOB SUMMARY:
The re-Authorization Representative will obtain authorizations for ongoing patient care, keeping team members aware of authorization status.
DUTIES & RESPONSIBILITIES:

Secures authorization for ongoing patient care.
Notifies internal team members of authorization status.
Notifies internal team members, Account Executives, doctors and patients of patient issues or delays in care.
Prepares Financial Obligation Notifications FOBs, annually and throughout the year if the insurance or the plan changes.
Update's computer system with any changes in insurance, insurance plan or benefits.
Update's computer system with alerts regarding insurance, authorization or patient issues.
Collects and processes co-insurance payments.
Processes rejections from Part D payers.
Investigates reimbursement issues from the Suspend Report.
Works with the Accounts Receivable Department to resolve insurance, claims or payment issues.
Trains new team members.
Assists in verifying benefits and eligibility.
Update's physician information in computer system when applicable.

PREFERRED SKILLS & EXPEERIENCE:

High school diploma or GED required.
Previous work experience in the home health or medical fields.
1-2 years of authorization, intake and eligibility required.
Previous experience in the home infusion, home health or medical field preferred.


#reauthorization #intake #priorauthorization #refillcoordinator #intakerepresentative #intakecoordinator #homeinfusion #infusion #healthcare #homehealth #hospital #eligibilityPI158751007

Keywords: KabaFusion, Cerritos , re-Authorization Representative, Other , Cerritos, California

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