Job Information
KabaFusion Holdings LLC Payment Integrity Specialist in Lexington, Massachusetts
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 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. Duties & Responsibilities: 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 Qualifications: 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