What are the responsibilities and job description for the Payment Integrity Specialist position at KabaFusion?
Why do Payment Integrity Specialists want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You will go home knowing you’ve made a difference and improved someone’s life.
About us:
What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40 states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion.
About the role:
As a Payment Integrity Specialist with KabaFusion, you will review claims for accuracy. This will include familiarizing yourself with the various payors we work with; understanding their fee schedules and contract requirements, making claims adjustments when necessary.
Essential Duties & Responsibilities:
- Improve the reimbursement process by identifying claims errors and making adjustments as needed prior to submittal
- Provide feedback and process improvement recommendations to upper management
- Maintain continuous, accurate, and complete documentation
As a Payment Integrity Specialist, you bring:
- Bachelor’s degree in business administration, Healthcare Administration, or other related fields (preferred)
- 1 year of revenue cycle experience in a healthcare setting
- 1 year of quality assurance, auditing, compliance, and/or process improvement in a healthcare setting
- Intermediate / Advanced Excel skills
- Good communication and interpersonal skills
Our Benefits:
- 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 and short-term disability
- Employee Assistance programs to help with mental health / wellness
- Learning & Development Programs
- Perks… includes discounts on travel, cell phone, clothing and more…
- Generous employee referral program
KabaFusion is a mission driven company with a focus on innovation and patient care so, as a Pharmacy Technician, if that sounds like something you want to be a part of, then look no further.
