PAP Specialist
AdaptHealth, Boca Raton, FL, United States
Job Overview
AdaptHealth offers full‑service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please apply – we would love to hear from you.
Position 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/communication. Intake Specialist’s schedules can vary based on the need of the branch. Hours can range anywhere between 8am and 7pm 7 days/week.
Responsible for ensuring customers receive PAP equipment by scheduling an appointment for the customer to come in to pick up equipment and receive proper instruction. Explains customers financial responsibility and ensures payment. PAP Specialists prepare and submit audit paperwork for Medicare and other insurance claims, accurately respond to claim audits, and communicate audit results to provide education and appropriate process changes that directly impact daily functions. Responsible for monitoring, communicating, and managing all clients on Positive Airway Pressure devices and encouraging client compliance with PAP equipment and program.
Job Duties
Develop and maintain working knowledge of current HME products and services offered by the company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.
Actively involved in team activities, including participation, mentoring, and training of co‑workers.
Assist in the development and maintenance of reference materials for use by staff and facilitate the sharing of information.
Develop relationships with branches and other teams to accomplish goals.
Participate in monthly team meetings and trainings.
Enter data accurately into the database including payer, authorization requirements, coverage limitations, and status of any requalification.
Collaborate with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation as well as educating, 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 function within HIPAA guidelines.
Complete assigned compliance training and other educational programs as required.
Maintain compliance with AdaptHealth’s Compliance Program.
Other duties as assigned.
Minimum Job Qualifications
High School Diploma or equivalent.
One (1) year work‑related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
Senior level requires two (2) years of work‑related experience and one (1) year of exact job experience.
Exact job experience is considered any of the above tasks in a 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 against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
#J-18808-Ljbffr
Position 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/communication. Intake Specialist’s schedules can vary based on the need of the branch. Hours can range anywhere between 8am and 7pm 7 days/week.
Responsible for ensuring customers receive PAP equipment by scheduling an appointment for the customer to come in to pick up equipment and receive proper instruction. Explains customers financial responsibility and ensures payment. PAP Specialists prepare and submit audit paperwork for Medicare and other insurance claims, accurately respond to claim audits, and communicate audit results to provide education and appropriate process changes that directly impact daily functions. Responsible for monitoring, communicating, and managing all clients on Positive Airway Pressure devices and encouraging client compliance with PAP equipment and program.
Job Duties
Develop and maintain working knowledge of current HME products and services offered by the company and all applicable insurance guidelines respecting eligibility for coverage and reimbursement.
Actively involved in team activities, including participation, mentoring, and training of co‑workers.
Assist in the development and maintenance of reference materials for use by staff and facilitate the sharing of information.
Develop relationships with branches and other teams to accomplish goals.
Participate in monthly team meetings and trainings.
Enter data accurately into the database including payer, authorization requirements, coverage limitations, and status of any requalification.
Collaborate with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation as well as educating, 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 function within HIPAA guidelines.
Complete assigned compliance training and other educational programs as required.
Maintain compliance with AdaptHealth’s Compliance Program.
Other duties as assigned.
Minimum Job Qualifications
High School Diploma or equivalent.
One (1) year work‑related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
Senior level requires two (2) years of work‑related experience and one (1) year of exact job experience.
Exact job experience is considered any of the above tasks in a 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 against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
#J-18808-Ljbffr