Job Information
KabaFusion Holdings LLC EDI Medical Claims Coordinator in Lexington, Massachusetts
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 EDI (Electronic Data Interchange) Medical Claims Coordinator is responsible for monitoring and managing the EDI System (Waystar) for rejected claims submissions. They will work closely with internal and external partners, along with healthcare providers and payors to resolve any issues and resubmit the claim for processing. Duties & Responsibilities: Process and adjudicate claims, resolving any data discrepancies or missing information Build and maintain relationships with internal departments, insurance companies, and healthcare providers Stay up to date with payor and regulatory requirements Qualifications: Bachelor?s degree in business administration, Healthcare Administration, or other related fields (preferred) 1+ year of revenue cycle experience in a healthcare setting 1+ year of quality assurance, auditing, compliance, and/or process improvement in a healthcare setting Intermediate / Advanced Excel skills Good communication and interpersonal skills