re-Authorization Representative

at KabaFusion
Location Edison, New Jersey
Date Posted June 25, 2022
Category Call Centre / CustomerService
Job Type Not Specified

Description

KabaFusion is a home infusion company with exceptional employees!

KabaFusion is a home infusion company with a national footprint. We opened our first pharmacy in 2010 in Southern California and now have 21 pharmacies in 15 states with a focus on IVIg, SCIg, acute infusion, and nutritional therapies.

Our success is the result of teamwork from our dedicated staff who truly believe in putting the "care" back in healthcare. A career at KabaFusion means joining a team that lives by its values and empowers team members to make a difference!

What we offer:

  • 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
  • 3 Employee Assistance Programs (EAP)
  • Emerging Leaders Training Program
  • Perks… includes discounts on travel, cell phone, clothing, and more…
  • Employee Referral Program

JOB SUMMARY:

The re-Authorization Representative will obtain authorizations for ongoing patient care, keeping team members aware of authorization status.

DUTIES & RESPONSIBILITIES:

  • Secures authorization for ongoing patient care.
  • Notifies internal team members of authorization status.
  • Notifies internal team members, Account Executives, doctors and patients of patient issues or delays in care.
  • Prepares Financial Obligation Notifications FOBs, annually and throughout the year if the insurance or the plan changes.
  • Update's computer system with any changes in insurance, insurance plan or benefits.
  • Update's computer system with alerts regarding insurance, authorization or patient issues.
  • Collects and processes co-insurance payments.
  • Processes rejections from Part D payers.
  • Investigates reimbursement issues from the Suspend Report.
  • Works with the Accounts Receivable Department to resolve insurance, claims or payment issues.
  • Trains new team members.
  • Assists in verifying benefits and eligibility.
  • Update's physician information in computer system when applicable.

PREFERRED SKILLS & EXPEERIENCE:

  • High school diploma or GED required.
  • Previous work experience in the home health or medical fields.
  • 1-2 years of authorization, intake and eligibility required.
  • Previous experience in the home infusion, home health or medical field preferred.

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