Pharmacy Billing Specialist

KabaFusion; Cerritos (CA); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive Compensation

401k w 4% match – no waiting or vest?g

PTO / Floating Holidays / Paid Homes

Company paid life insurance and short‑

Employee Assistance programs

Learning & Development Programs

Perks… includes discounts on travel,

Generous employee referral program

Job summary

KabaFusion is seeking a Pharmacy Billing Specialist to join its team in the United States. You will start the process by submitting pharmacy benefit claims and ensuring accurate, timely processing across major PBM companies for therapies including IVIg, TPNs, and antibiotics.

The role requires 2+ years of pharmacy billing experience and knowledge of HCPC, ICD-10, and CPT codes. A high school diploma or equivalent is required, with comprehensive benefits and development opportunities provided.

Qualifications

• 2+ years of pharmacy billing experience.
• Knowledge of HCPC, ICD-10 and CPT codes.
• High school diploma or equivalent required.

Responsibilities

• Ensures accuracy and completeness of PBM billing requirements.
• Submits clean claims timely to PBM companies for acute and chronic therapies.
• Maintains billing queue status and reimbursement reports.

Skills

Pharmacy billing experience

HCPC codes

ICD-10 codes

CPT codes

Education

High school diploma or equivalent

Job description

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

Why do pharmacy billers 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

Our Pharmacy Billing Specialists start the process and simply put, submit claims for payment. You will be responsible for ensuring the accurate and timely processing and billing of pharmacy benefit claims. This will include all the major Pharmacy Benefit Management (PBM) companies for acute and chronic therapies to include IVIg, TPN’s and antibiotics.

Essential Duties & Responsibilities

• Ensures accuracy and appropriateness of claim type, diagnosis codes, place of service, procedure codes, HCPC or NDC units for drugs, per diem, proper use of modifiers, and dates of service
• Certifies the accuracy and completeness of PBM requirements prior to timely submission of clean claims
• Manages Billing Que status code to track unbilled delivery ticket(s) and maintains Reimbursement Pending Item Report

As a Pharmacy Billing Specialist, You Bring

• High school diploma or equivalent
• Knowledge of HCPC, ICD-10 and CPT codes
• 2+ years of pharmacy billing experience

Our Benefits

• Competitive Compensation
• 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…
• Generous employee referral program

To learn more about KabaFusion, please visit our careers page:

https://www.kabafusion.com/careers/

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