Pharmacy Billing Specialist: PBM Claims Expert

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

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.