Payment Integrity And Refund Specialist
Not Disclosed•Full-TimeOn-site
location_on12344, Rose Street, Cerritos, Los Angeles County, California, 90703, United States
About Us
What started as a single pharmacy in 2010 has grown into KabaFusion, the largest privately held home infusion company in the country. We operate a national network of pharmacies and nursing offices strategically placed to service 40+ states. With over 30 years of combined experience, we are the industry leader in home infusion.
At KabaFusion, our patients come from all walks of life, and so do we. We hire great people and celebrate the differences that make us unique. Here, hard work and dedication are not only recognized but celebrated, regardless of your role. This is a place to excel and do your best work.
About the Role
This position is the guardian of accurate and compliant billing processes across Government, Commercial Health Plans, and Medical Group payers. You will manage claims resolution and refund processing while analyzing payer correspondence to escalate trends and maintain contractual compliance. Your work ensures that revenue is booked according to appropriate contract allowances and that reimbursement issues are addressed promptly.
Hiring Process
To learn more about KabaFusion and apply, please visit our careers page: https://www.kabafusion.com/careers/
Work location
Work model: On-site
12344, Rose Street, Cerritos, Los Angeles County, California, 90703, United States
Cerritos, California
Key Responsibilities
- check_circleMaintain daily productivity standards by working a minimum of 30-35 claims per day
- check_circleProcess payer and patient refunds accurately and submit refund request forms for review
Similar Job Opportunities
Skills, education and keywords
Skills: Microsoft Office, Word, Excel, Outlook, Teams, Electronic Health Care Record Software System, HCPC, CPT Codes, Medical Terminology.
Education: High School Graduate or Equivalent required.
Frequently asked questions about Payment Integrity And Refund Specialist at KabaFusion
What does a Payment Integrity And Refund Specialist at KabaFusion do?expand_more
A Payment Integrity And Refund Specialist at KabaFusion is responsible for the following: Maintain daily productivity standards by working a minimum of 30-35 claims per day; Process payer and patient refunds accurately and submit refund request forms for review; Review claims to ensure they are processed and paid in full according to contractual agreements; and Analyze and resolve claims issues by following up on payer correspondence and refund letters.
What are the requirements for this Payment Integrity And Refund Specialist role?expand_more
KabaFusion is looking for candidates who meet the following requirements: High School Graduate or Equivalent; Minimum of one (1) year of experience in home infusion; Proficient experience with Microsoft Office; Knowledgeable of HCPC and CPT codes; and Strong understanding of insurance terms, medical terminology, pricing methodology for commercial and government billing requirements.
Where is the Payment Integrity And Refund Specialist role at KabaFusion located?expand_more
Payment Integrity And Refund Specialist at KabaFusion is based in 12344, Rose Street, Cerritos, Los Angeles County, California, 90703, United States. This is a on-site role.