re-Authorization Representative
Location | Lexington, Massachusetts |
Date Posted | June 22, 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.
PI