EDI Medical Claims Coordinator

EDI Medical Claims Coordinator

Why do EDI Medical Claims Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn't matter what your role is, you will be part of a team that works collaboratively to change lives. You will go home knowing you've made a difference and improved someone's life.

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:

The EDI (Electronic Data Interchange) Medical Claims Coordinator is responsible for monitoring and managing the EDI System (Waystar) for rejected claims submissions. They will work closely with internal and external partners, along with healthcare providers and payors to resolve any issues and resubmit the claim for processing.

Essential Duties & Responsibilities:

• Process and adjudicate claims, resolving any data discrepancies or missing information
• Build and maintain relationships with internal departments, insurance companies, and healthcare providers
• Stay up to date with payor and regulatory requirements

As an EDI Medical Claims Coordinator, you bring:

• 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

Our Benefits:

• 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 and short-term disability
• Employee Assistance programs to help with mental health / wellness
• Learning & Development Programs
• Perks includes discounts on travel, cell phone, clothing and more
• Generous employee referral program

KabaFusion is a mission driven company with a focus on innovation and patient care so, as an EDI Medical Claims Coordinator, if that sounds like something you want to be a part of, then look no further.