Medical Collections Specialist
About The Position
Come join an exciting and innovative company that puts the “care” back in healthcare! 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 that you have made a difference. 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 KabaFusion is the industry leader in home infusion. As a Medical Collections Specialist, you are responsible for managing and resolving outstanding patient accounts and insurance claims. This involves contacting insurance companies to collect payments, verifying billing information, and ensuring compliance with healthcare regulations. Please note, this position is fully onsite at our office located in Lexington, MA. We offer The Grid shuttle bus service between the MBTA Alewife Station and our Lexington office.
Requirements
- High school diploma or equivalent
- Knowledge of HCPC, CPT, and ICD-10 codes
- 1+ year of experience working with insurance payors (billing or collections)
Responsibilities
- Ensure all collections processes comply with regulatory requirements for government, commercial health plans, and medical group payors.
- Oversee accurate and timely billing, confirm correct coding and unit documentation based on payor and therapy type.
- Verify all payor-specific requirements are met before submitting claims electronically.
- Resolve claim issues by conducting timely follow-ups utilizing payor remittance advice and correspondence.
- Confirm required authorizations and medical documentation are included with claim submissions as well as appeals.
- Ensure claims are processed and reimbursed fully in accordance with contractual agreements.
- Accurately book revenue in alignment with managed care contracts.
- Conduct collections calls to payors and/or patients promptly and professionally.
- Maintain HIPAA compliance and safeguard patient health information in accordance with company policy.
- Responsible for achieving daily productivity targets and support timely completion of monthly financial deadlines.
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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
