Job Duties :
- Answer inbound calls from customers and physicians offices to assist with pap therapy customer service and order-related inquiries
- Conduct outbound scheduling and order follow up calls
- Responsible for completion of all pap order-related tasks from order received to scheduled, including patient and order creation, insurance verification, qualification, prior authorization, and scheduling
- 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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