Reauthorization Representative

Job Description

Job Description

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

Why do Reauthorization 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 :

The re-Authorization Representative will obtain authorizations for ongoing patient care and serve as a liaison between external service providers, 3rd party payors, and internal departments. This role requires a high level of organization and good customer service skills as you will be interacting with insurance companies, physician offices, and the patients themselves.

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 with any changes in insurance, insurance plan or benefits; 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.

As a Reauthorization Representative, you bring :

What we offer :

Experience what being a part of the KabaFusion family feels like!