PAP Specialist

6 days ago

Fort Myers, United States AdaptHealth Full time
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.
  • Is actively involved in team activities, evidenced by participation, mentoring, and training with co-workers
  • Assists in the development and maintenance of reference materials for use by staff and facilitates the sharing of information
  • Develops relationships with branches, other teams to accomplish goals
  • Participates in monthly team meetings and trainings
  • Responsible for entering data in an accurate manner, into database including although not limited to payer, authorization requirements, coverage limitations and status of any requalification
  • Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation as well as educating, as necessary.
  • Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.
  • Maintain patient confidentiality and function within the guidelines of HIPAA
  • Completes assigned compliance training and other educational programs as required
  • Maintains compliant with AdaptHealth’s Compliance Program
  • Other duties as assigned.


Requirements

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.


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