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Benefits Eligibility Representative

Benefits Eligibility Representative

KabaFusionCerritos, CA, US
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Job Description

Job Description

Why do Benefits Eligibility Representatives 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 :

As a Benefits Eligibility Representative at KabaFusion, you will be responsible for processing acute infusion referrals and act as a liaison between external service providers, insurance companies, and the company. The focus of this role will be to determine eligibility for new referrals and obtain authorizations and secure financial obligations.

Essential Duties & Responsibilities :

  • Notifies internal team members, Account Executives, doctors and patients of authorization status, patient issues, and / or delays in care.
  • Prepares Financial Obligation Notifications FOBs, annually and throughout the year if the insurance or the plan changes.
  • Updates' computer system; collects and processes co-insurance payments.
  • Works with the Accounts Receivable Department to resolve insurance, claims or payment issues.

As a Benefits Eligibility Representative, you bring :

  • High school diploma or GED required.
  • Previous work experience in the home health or medical fields.
  • 1-2 years of authorization, intake and eligibility experience.
  • Previous experience in the home infusion, home health or medical field preferred
  • Our Benefits :

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

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    Eligibility Representative • Cerritos, CA, US

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