In-Home Sleep & PAP Therapy Specialist

SuperCare Health; Modesto (CA); On-site; USD 25,000 - 37,000; Full time

Benefits offered by this job

Flexible Savings Account

401K

Voluntary Life Insurance

Paid Training

Paid Time Off

Sick Time

Employee Referral Reward Program

Employee Discount Program

Job summary

SuperCare Health is a leading in-home respiratory care provider seeking a Respiratory Support Specialist to coordinate PAP therapy setup, educate patients, and ensure accurate documentation for HIPAA and payer compliance.

The role emphasizes outstanding customer service, collaboration with clinicians and referral sources, and adherence to insurance guidelines while supporting branch operations, including evenings or weekends as needed.

Qualifications

• High School Diploma or equivalent required.
• Minimum 1 year in customer service or healthcare admin, insurance verification, claims, billing, or call center.
• Strong verbal and written communication skills.
• Proficiency with computer systems and Microsoft Office.
• Ability to manage multiple priorities in a fast-paced environment.
• Knowledge of Medicare, Medicaid and commercial insurance guidelines.

Responsibilities

• Coordinate PAP equipment set-up appointments and ensure timely delivery of services.
• Provide instruction and education to patients regarding PAP usage, cleaning, maintenance, and therapy expectations.
• Explain patient financial responsibility, insurance coverage, copayments, and payment options.
• Deliver exceptional customer service while responding to patient inquiries, concerns, and follow-up needs.
• Monitor PAP patient compliance and proactively communicate with patients to encourage therapy adherence and successful treatment outcomes.
• Maintain professional and compassionate communication with patients, caregivers, physicians, and referral sources.
• Accurately enter and maintain patient information, authorizations, payer requirements, and compliance documentation in company databases and systems.
• Appropriately document all patient interactions, communications, and account updates in accordance with company standards.
• Maintain knowledge of applicable insurance guidelines, coverage criteria, and reimbursement requirements related to PAP and sleep therapy services.
• Assist with preparation and submission of audit documentation for Medicare and commercial insurance claims.
• Respond accurately and timely to claim audits and compliance requests.
• Collaborate with physician offices, branch teams, intake staff, respiratory clinicians, and sales personnel to obtain required documentation and ensure timely processing of patient orders.
• Identify trends, documentation issues, or workflow opportunities and provide feedback to leadership and team members.
• Participate in branch meetings, trainings, and ongoing educational programs.
• Assist in maintaining departmental reference materials and process documentation.
• Support branch operational goals and contribute positively to team performance and patient satisfaction initiatives.
• Maintain patient confidentiality and comply with all HIPAA regulations and company privacy standards.
• Ensure compliance with SuperCare Health policies, accreditation standards, and payer requirements.
• Complete all required compliance and continuing education training programs.
• Maintain accurate and audit-ready documentation at all times.
• Perform other duties as assigned.

Skills

Customer service

Healthcare administrative

Insurance verification

Claims processing

Billing

Call center

Multitasking

Communication skills

Bilingual

Education

High School Diploma

Tools

Microsoft Office

Patient management systems

Job description

SuperCare Health is a leading in-home respiratory care provider seeking a Respiratory Support Specialist to coordinate PAP therapy setup, educate patients, and ensure accurate documentation for HIPAA and payer compliance.

The role emphasizes outstanding customer service, collaboration with clinicians and referral sources, and adherence to insurance guidelines while supporting branch operations, including evenings or weekends as needed.