Quality Assurance Referral Coordinator

Job Description

Job Description

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. We are a mission driven company with a focus on innovation and patient care so, if that sounds like something you want to be a part of, then look no further.

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 Quality Assurance Referral Coordinator with KabaFusion, you serve as liaison between the Sales team and Intake, reducing the amount of the Sales team’s extensive paperwork once a relationship is established. This role focuses on administrative tasks and incorporates quality assurance responsibilities. By incorporating QA responsibilities, this role streamlines and enhances the efficiency of insurance authorizations, while upholding high-quality standards and ensuring regulatory compliance.

Essential Duties & Responsibilities:

• Advocates on behalf of patients and healthcare providers to insurance companies, ensuring necessary medications are approved in a timely manner while ensuring services meet quality standards and patient needs.
• Maintains accurate and detailed records of authorization requests, approvals, denials, and communications related to insurance authorizations for reference and reporting purposes, ensuring compliance with documentation and record-keeping standards for quality assurance
• Provides support and guidance to sales representatives regarding insurance authorization processes, ensures understanding of requirements and can navigate challenges encountered.

What you bring:

• Extensive knowledge of insurance carrier procedures
• Knowledge of and an analytical understanding of EDI, ERA, EFT’s
• 2+ years of medical billing or rev cycle experience (payments & claims)

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 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

To learn more about KabaFusion, please visit our careers page:  

At KabaFusion, we are committed to building a culture of collaboration and teamwork. Come join us and find out what it means to be part of a mission driven company that is making a difference.