Hybrid Reimbursement Quality Assurance Supervisor bei KabaFusion

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

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.  Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated.  Join us and find out why this is the place to excel and do your best work. 

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. 

JOB SUMMARY:

This position leads Quality Assurance (QA) initiatives, monitors performance metrics, and collaborates with cross-functional teams to drive continuous improvement in billing, collections, and reimbursement accuracy.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Supervise and support QA analysts and specialists in the review of reimbursement workflows.

2. Develop and maintain QA audit tools and reporting dashboards.

3. Conduct trainings, regular audits of billing, payment posting, and follow-up activities to ensure accuracy and compliance.

4. Identify trends, root causes, and training needs based on audit findings.

5. Collaborate with training and operations teams to implement corrective actions and process improvements.

6. Monitor payer policy changes and ensure QA protocols are updated accordingly.

7. Prepare and present QA performance reports to RCM leadership team.

8. Support system testing and validation for reimbursement-related updates or enhancements.

9. Serve as a subject matter expert on reimbursement QA standards and best practices.

10. Ensures compliance with payer guidelines, internal policies and regulatory standards.

11. Other duties as assigned by manager

JOB REQUIREMENTS AND QUALIFICATIONS

Education:

• Bachelor’s degree in related field or equivalent experience preferred.

Experience

• Minimum 3–5 years of experience in healthcare reimbursement, billing, or revenue cycle QA.

• Prior supervisory or team lead experience preferred

• Experience with CPR+ or similar billing systems is a plus.

Skill and Competencies:

• Demonstrates knowledge of payer reimbursement policies, coding, and billing regulations.
•  Proficient in QA methodologies, audit tools, and data analysis.
•  Demonstrates high attention to detail and analytical thinking.
•  Demonstrates the ability to work independently, collaboratively and deliver to deadlines.
•  Demonstrates excellent communication, leadership, and problem-solving skills.
•  Demonstrates understanding of medical terminology, medical coding, and the healthcare delivery system.
•  Proficient in Microsoft Office Suite.
•  Demonstrates adaptability to new systems, processes, and technology.