Pharmacy Billing Specialist

Job Description

Job Description

Come join an exciting and innovative company that puts the “care” back in healthcare !

Why do pharmacy billers 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 :

Our Pharmacy Billing Specialists start the process and simply put, submit claims for payment. You will be responsible for ensuring the accurate and timely processing and billing of pharmacy benefit claims. This will include all the major Pharmacy Benefit Management (PBM) companies for acute and chronic therapies to include IVIg, TPN’s and antibiotics.

Essential Duties & Responsibilities :

• Ensures accuracy and appropriateness of claim type, diagnosis codes, place of service, procedure codes, HCPC or NDC units for drugs, per diem, proper use of modifiers, and dates of service
• Certifies the accuracy and completeness of PBM requirements prior to timely submission of clean claims
• Manages Billing Que status code to track unbilled delivery ticket(s) and maintains Reimbursement Pending Item Report

As a Pharmacy Billing Specialist, you bring :

Our Benefits :

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