re-Authorization Representative

Company: KabaFusion
Location: Dallas
Posted on: June 25, 2022

Job 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 1st 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 ProgramJOB 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.#pharmacy #reauthorization #intake #priorauthorization #refillcoordinator #intakerepresentative #intakecoordinator #homeinfusion #infusion #healthcare #homehealth #hospital #eligibility #kabafusion #nowhiringPI179416859

Keywords: KabaFusion, Dallas , re-Authorization Representative, Other , Dallas, Texas