Hybrid Central Reauthorization 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 is responsible for leading and overseeing the Reauthorization Department, ensuring that all necessary documentation and processes are in place to secure reimbursement for ongoing care services. This position also involves supervising departmental staff, maintaining compliance with reauthorization standards, and optimizing workflow efficiency. Additional responsibilities may include budget management, revenue oversight, and coordination of purchasing activities.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Supervises the reauthorization process by managing eligibility, authorization, changes in orders,

negotiated rates, financial obligation documents and all necessary payor information for all services rendered by the company.

2. Supervises the RCM and Pending Revenue reports and weekly calls to quickly resolve and minimize any Reauthorization issues that arise in the reports. Helps guide the team to resolve quickly and efficiently.

3. Supervises Leads and representatives in performance of their duties ensuring proper training and customer service levels are met, auditing the quality of work performed by staff, and ensuring operational flow of department is optimal, monitoring of customer service via telephone calls, fax, email and internet access to improve service and outcomes.

4. Collaborates with third party payer administrators, Contract Management Group and Business Development staff on contract issues.

5. Submits information to Contract Management and Business Development staff regarding contract issues as they affect revenue and sales. Notifies appropriate staff of changes in contract arrangements or updates in third party payer guidelines.

6. Supervises and ensures reauthorization processes are compliant with ACHC and government regulations.

7. Assists in hiring, evaluating, training, development, and disciplining of staff.

8. Participates in overall supervision of location(s) by meeting with Director and other Department managers to review operations, discuss and formulate resolutions to outstanding issues while maintaining and fostering an atmosphere of cooperation between departments.

9. Other related duties as assigned by manager

JOB REQUIREMENTS AND QUALIFICATIONS

Education:

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

Experience

• Minimum of two (2) years of experience in billing and/or intake management of infusion, nursing or DME/RT required

• experience of insurance verification, authorization and eligibility process required.

• Minimum two (2) years supervisory experience preferred.