AdaptHealth
Overview
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PAP Specialist - CPAP Phone Liaison
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AdaptHealth . AdaptHealth is a full-service home medical equipment provider offering products and services to empower patients to live their best lives at home. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply. Role description The PAP Specialist has a broad range of responsibilities including accurate and timely data entry, understanding and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information and communication. Intake Specialist schedules can vary based on the need of the branch. Hours can range anywhere between 8am and 7pm, 7 days/week. Responsibilities include ensuring customers receive PAP equipment by scheduling appointments, providing proper instruction on how to use the equipment, and explaining customers’ financial responsibility and ensuring payment. Additional responsibilities include preparing and submitting audit paperwork for Medicare and other insurance claims to ensure compliance with healthcare guidelines, responding to claim audits, and communicating audit results to educate and drive process improvements. Responsible for monitoring, communicating, and managing all clients on Positive Airway Pressure devices and encouraging client compliance with PAP equipment and the program. Responsibilities
Develop and maintain working knowledge of current HME products and services and applicable insurance guidelines for eligibility, coverage, and reimbursement. Actively participate in team activities, including mentoring and training with co-workers. Assist in the development and maintenance of reference materials for staff and facilitate information sharing. Develop relationships with branches and other teams to accomplish goals. Participate in monthly team meetings and trainings. Enter data accurately into databases, including payer, authorization requirements, coverage limitations, and requalification status. Collaborate with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation and provide education as necessary. Identify trends and provide feedback and education to internal and external customers on compliant documentation requirements for services provided. Maintain patient confidentiality and operate within HIPAA guidelines. Complete assigned compliance training and other required educational programs. Maintain compliance with AdaptHealth’s Compliance Program. Other duties as assigned. Qualifications
High School Diploma or equivalent. One (1) year of work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center, or management (any industry). Senior level: two (2) years of work-related experience and one (1) year of exact job experience. Exact job experience: in Medicare-certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance. AdaptHealth is an equal opportunity employer and does not unlawfully discriminate in employment based on protected characteristics. This policy applies to all terms, conditions, and privileges of employment.
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Join to apply for the
PAP Specialist - CPAP Phone Liaison
role at
AdaptHealth . AdaptHealth is a full-service home medical equipment provider offering products and services to empower patients to live their best lives at home. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply. Role description The PAP Specialist has a broad range of responsibilities including accurate and timely data entry, understanding and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information and communication. Intake Specialist schedules can vary based on the need of the branch. Hours can range anywhere between 8am and 7pm, 7 days/week. Responsibilities include ensuring customers receive PAP equipment by scheduling appointments, providing proper instruction on how to use the equipment, and explaining customers’ financial responsibility and ensuring payment. Additional responsibilities include preparing and submitting audit paperwork for Medicare and other insurance claims to ensure compliance with healthcare guidelines, responding to claim audits, and communicating audit results to educate and drive process improvements. Responsible for monitoring, communicating, and managing all clients on Positive Airway Pressure devices and encouraging client compliance with PAP equipment and the program. Responsibilities
Develop and maintain working knowledge of current HME products and services and applicable insurance guidelines for eligibility, coverage, and reimbursement. Actively participate in team activities, including mentoring and training with co-workers. Assist in the development and maintenance of reference materials for staff and facilitate information sharing. Develop relationships with branches and other teams to accomplish goals. Participate in monthly team meetings and trainings. Enter data accurately into databases, including payer, authorization requirements, coverage limitations, and requalification status. Collaborate with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation and provide education as necessary. Identify trends and provide feedback and education to internal and external customers on compliant documentation requirements for services provided. Maintain patient confidentiality and operate within HIPAA guidelines. Complete assigned compliance training and other required educational programs. Maintain compliance with AdaptHealth’s Compliance Program. Other duties as assigned. Qualifications
High School Diploma or equivalent. One (1) year of work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center, or management (any industry). Senior level: two (2) years of work-related experience and one (1) year of exact job experience. Exact job experience: in Medicare-certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance. AdaptHealth is an equal opportunity employer and does not unlawfully discriminate in employment based on protected characteristics. This policy applies to all terms, conditions, and privileges of employment.
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