Reauthorization Representative

About the company

Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

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

This position is responsible for obtaining authorization for ongoing patient care.

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.
• Updates computer system with any changes in insurance, insurance plan or benefits, 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.
• Updates physician information in computer system when applicable.
• Backs up to the Intake Department as needed.
• Other related duties as assigned by supervisor.

Requirements

• High School Graduate or equivalent
• Previous work experience in the home health or medical fields.
• Minimum one (1) year of authorization, intake and eligibility required.
• Previous experience in the home infusion, home health or medical field preferred.

Skills

• Demonstrate ability to communicate well with both internal and external customers, verbally and in writing.
• Demonstrate the ability to organize, prioritize workload and critical thinking skills.
• Demonstrate the ability to handle multiple patient issues simultaneously.
• Demonstrate Mathematical skills sufficient to calculate price quotes.

Benefits

• Competitive compensation
• Benefits start on your 1st day of employment
• 401k with 4% match – no waiting or vesting period
• PTO / Floating Holidays / Paid Holidays
• Company paid life insurance, short term disability
• Employee Assistance programs to help with mental health / wellness
• Learning & Development Programs
• Perks including discounts on travel, cell phone, clothing and more
• Generous employee referral program