Paralegal, Regulatory Compliance

KabaFusion, LLC.; Carrollton (TX); On-site; USD 46,356 - 56,674; Full time

Benefits offered by this job

401(k) with 4% match

PTO and paid holidays

Employee Assistance program

Discounts on travel and other perks

Job summary

KabaFusion, LLC. in Carrollton, TX is seeking a Paralegal for Regulatory Compliance to support and maintain the integrity of Medicare and Medicaid filings. The ideal candidate will have strong communication skills, a solid understanding of compliance regulations, and a keen attention to detail.

Responsibilities include updating filings, conducting research, and preparing submissions. The position offers competitive compensation and comprehensive benefits starting from the first day of employment.

Qualifications

• At least 2 years of State Board licensing experience preferred.
• At least 1 year of regulatory compliance and/or credentialing experience preferred.

Responsibilities

• Update and maintain initial filings for Medicare and Medicaid payors.
• Interpret applications and compile supporting documents.
• Support the Managed Care Department.
• Conduct research on application processes.
• Prepare and submit revalidations and changes.
• Oversee enrollment processes for Government Health Plans.

Skills

Knowledge of federal, state, county and city rules

Excellent writing and communication skills

Strong organizational skills

Proficient with Windows, Excel and Word

Education

High School Diploma

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Paralegal, Regulatory Compliance

Full Time, Carrollton, TX

3 days ago Requisition ID: 4147

Salary Range: $33.65 To $41.14 Hourly

Come join an exciting and innovative company that puts the care back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

Responsibilities

• Update and maintain initial filings for Medicare and Medicaid payors.
• Interpret applications, compile supporting documents, analyze requests, and submit applications.
• Support the Managed Care Department with ownership and disciplinary action review for a variety of payers.
• Maintain pharmacy profiles on NCPDP and NPI websites.
• Conduct research on application processes for each entity and state and keep the research up to date.
• Develop and maintain annual timelines and work plans using contracting software.
• Coordinate cross‑departmental updates with Licensing, Managed Care and Reimbursement teams.
• Develop and distribute internal communications regarding changes in Medicare and Medicaid.
• Review and renew surety bonds and coordinate issuance of certificates of insurance.
• Research special license projects and report on requirements, forms, fees, and timelines.
• Prepare and submit revalidations and changes to Medicare and Medicaid (e.g., address change, PIC change, officer change).
• Complete and file Medicare 855S DMEPOS and 885B HIT applications.
• Troubleshoot specific Medicaid issues.
• Oversee enrollment processes for Government Health Plans.
• Set up user accounts with Government, Commercial Health Plans and Medical Group payer portals.
• Assist Licensing team with permits for pharmacies and home health agencies at all levels.
• Update new licenses/permits and submit ownership and disciplinary action disclosures.
• Other duties as assigned.

Skills and Abilities

• Basic knowledge of business compliance regulatory framework.
• Knowledge of federal, state, county and city rules and regulations for home infusion pharmacies and home health agencies.
• Excellent writing and communication skills.
• Strong judgment and professionalism.
• Ability to communicate with individuals at various levels.
• Excellent attention to detail.
• Ability to handle sensitive information with discretion and confidentiality.
• Demonstrated ability to work with minimal supervision.
• Strong organizational, prioritization and deadline‑management skills.
• Continuous monitoring of changes that may affect licenses.
• Proficient with Windows, Excel and Word.

Education and Experience

• High School Diploma required.
• At least 2 years of State Board licensing experience preferred.
• At least 1 year of regulatory compliance and/or credentialing experience preferred.

Benefits

• Competitive compensation.
• Benefits start on your first day of employment.
• 401(k) with 4% match – no waiting or vesting period.
• PTO, floating holidays, paid holidays.
• Company‑paid life insurance, short‑term disability.
• Employee Assistance program.
• Learning & Development programs.
• Perks, including discounts on travel, cell phone, clothing and more.

Join us and find out why this is the place to excel and do your best work.