KabaFusion · 19 hours ago
Regulatory Compliance Paralegal
Cerritos - CA Cerritos - CORP - HOLDINGS, Cerritos, CA, US
Full-time
Onsite
Entry, Mid Level
$33.65/hr - $37.31/hr
2+ years expKabaFusion is the largest privately held home infusion company in the country, dedicated to providing quality healthcare. The Regulatory Compliance Paralegal will be responsible for managing Medicare and Medicaid applications, ensuring compliance with various regulations, and supporting the licensing team with necessary permits.
Hospital & Health Care
Responsibilities
Conduct research on the full nature of the application process for each entity and state
Maintain and update the research to remain in compliance year to year
Interpret and analyze the requirements of each application
Compile the necessary supporting documents for each application
Provide a thorough, detailed review prior to submission
Support Medicare and Medicaid line of business for upcoming contract year business readiness
Spearhead submission of Medicare/Medicaid Applications
Assist in the development, implementation, and maintenance of annual timelines/work plans using contracting software to ensure timely and successful project completion including ad hoc projects
Responsible for staying up to date with the latest communications and guidance provided by CMS as it relates to applicable projects
Coordinate cross-departmental informational updates with Licensing, Managed Care and Reimbursement Teams – focusing on teamwork, information flow and supporting data to promote cross-training and unified team direction
Develop and distribute internal communications regarding changes in Medicare and Medicaid regulations
Review/renewal of surety bonds and coordinate the issuance of the certificates of insurance
Research special license projects and provide upper management with a comprehensive report outlining requirements, forms, application, regulations, timelines, fees, etc
Prepare and submit revalidations; and any changes to Medicare and Medicaid (i.e., address change; PIC Change; officer change)
Complete and file Medicare 855S DMEPOS and 885B HIT applications
Trouble shoot specific Medicaid issues and resolve accordingly
Ensure enrollment processes are compliant with payer requirements for Government Health Plans
Oversee the initial set up of user accounts with Government, Commercial Health Plans and Medical Group payer portals based on job function
Assist the Licensing team with regard to permits for pharmacies and home health agencies at all levels: federal, state, county, and city, including but not limited to: State Board of Pharmacy, State Board of Nursing, Drug Enforcement Administration (DEA), and Business Licenses
Oversee the updating of new licenses/permits, ensuring demographic and changes of ownership, location and Pharmacist in Charge (PIC), Nursing Administrator, etc. to the NCPDP and NPI websites
Manage and submit ownership and disciplinary action disclosures as required for new/renewed credentialing and licensing applications
Qualification
Preferred
High School Diploma required
Paralegal certificate required
At least 2+ years State Board licensing experience preferred (Pharmacy or any healthcare entity)
At least 1+ regulatory compliance and/or credentialing experience preferred
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, 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
Company
KabaFusion
KabaFusion prides itself on providing a wide range of infusion therapy services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Dr. Sohail Masood
Founder, Chairman, CEO
Sohail Merchant
President & Chief Financial Officer
Recent News
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2023-09-26
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2023-01-18
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2022-11-02
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