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Enrollment Analyst

Company: KabaFusion
Location: Cerritos
Posted on: June 20, 2022

Job Description:

KabaFusion is a home infusion company with exceptional employees!WHY KABAFUSION?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 employment401K w/ 4% Match - no waiting or vesting periodPTO / Floating Holidays / Paid HolidaysCompany Paid Life Insurance3 Employee Assistance Programs (EAP)Emerging Leaders Training ProgramPerks--- includes discounts on travel, cell phone, clothing, and more---Employee Referral ProgramJOB SUMMARY:The Enrollment Analyst is responsible for the processes that involve enrollment for contracts and Medicare, Medicaid and Commercial Payors which include Completing applications, compiling information for the applications, evaluating, tracking, auditing, and monitoring responses to the applications. Applications can include EDI (Electronic Data Interchange), ERA (Electronic Remittance Advice) and EFT (Electronic Funds Transfer). DUTIES & RESPONSIBILITIES:Acts as a liaison between managed care, licensing, intake, and reimbursement departments to compile and complete enrollments.Assures enrollment processes are compliant with payer requirements for Government, Commercial Health Plans and Medical Group payers.Responsible for the initial set up of user accounts with Government, Commercial Health Plans and Medical Group payer portals based on job function. Responsible to managing user lists and removing users following their departure from KabaFusion.Responsible for follow up, monitoring, and tracking of enrollment issues. Responsible for registering with payment portals or identify possible ERA/EFT options.Assists with the enrollment of manufacturer co-pay assistance forms.Communicates and addresses enrollment issues with management for resolution in a timely manner.Responds timely and accurately to all incoming correspondence and inquiries from payers, patients, and other appropriate parties.Maintains reports on enrollments and user access and generates reports when requested.Creates and maintains standard operating procedures for all enrollment processes.Handles all correspondence, documentation, and files in a professional and confidential manner.Must be able to prioritize, multi-task, meet goals and deadlines.Protects patient health information by following regulations for HIPAA compliance.PREFERRED EDUCATION & EXPERIENCE:High School Diploma or equivalent education.Extensive knowledge of paperless processes (EDI, ERA, EFT)Extensive knowledge of insurance carrier procedures. Analytical understanding of payor EDI/EFT/ERA's.A minimum of 2 years' experience performing medical billing functions / Health Care Revenue Cycle payments and claims. Clear understanding of billing software and electronic medical records. CPR+ knowledge is preferred.#corporate #kabafusion #nowhriing #enrollment #medicare #medicaid #ERA #EFT #EDI #commercialpayorsPI182461487

Keywords: KabaFusion, Cerritos , Enrollment Analyst, Professions , Cerritos, California

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