Payment Integrity & Refund Specialist

KabaFusion; Cerritos (CA); On-site; USD 34,000 - 40,000; Full time

Benefits offered by this job

401k match

PTO / Holidays

Life insurance

Employee assistance program

Learning & development

Discounts

Job summary

KabaFusion is seeking a Payment Integrity & Refund Specialist in Cerritos, CA. This full-time role focuses on reviewing claims for accuracy, understanding payor fee schedules and contract requirements, and making adjustments as needed before submission.

Responsibilities include identifying claim errors to improve reimbursement, providing feedback for process improvements to upper management, and maintaining precise documentation.

Qualifications

• Bachelor’s degree in business administration, Healthcare Administration, or related field preferred.
• 1+ year revenue cycle experience in a healthcare setting.
• 1+ year of quality assurance, auditing, compliance, and/or process improvement in a healthcare setting.

Responsibilities

• Improve reimbursement by identifying claim errors and adjustments.
• Provide feedback and process improvement to management.
• Maintain continuous, accurate documentation.

Skills

Excel

Communication

Interpersonal skills

Education

Bachelor's degree

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.

Payment Integrity & Refund Specialist

Full Time Cerritos - CA Cerritos - CORP - HOLDINGS, Cerritos, CA, US

Salary Range: $25.00 To $29.00 Hourly

Why do Payment Integrity & Refund 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 & Refund 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.

• 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 & Refund 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
• Benefits start on your 1 st 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…

KabaFusion is a mission driven company with a focus on innovation and patient care so, as a Payment Integrity & Refund Specialist , if that sounds like something you want to be a part of, then look no further.