Revenue 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

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.