Manager, PAP

Adapt-Health-LLC; Port Saint Lucie (FL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401(k) with company match

Paid Time Off (PTO) & holidays

Employee Stock Purchase Plan

Life and disability insurance

Flexible Spending Accounts (FSA/HSA)

Job summary

AdaptHealth is seeking a Manager, PAP to oversee intake, processing, and review of medical records to ensure medical necessity and efficient call handling. You will lead a team, set objectives, plan resources, and monitor metrics to maximize productivity and service quality.

The role manages eight or more direct reports, ensures staff training, and develops SOPs while collaborating across departments to improve payer processes and patient experience.

Qualifications

• Associate degree from an accredited college is required.
• Three (3) years’ work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management.
• Two (2) HME claims experience is preferred.
• Experiences in Medicare certified HME, IV or HH environment that bills insurance.

Responsibilities

• Resolve questions and concerns with appropriate actions.
• Ensure staff training and accountability for standards and goals.
• Identify root causes and work with teams to improve processes.
• Evaluate performance with metrics (accuracy, call-waiting times).
• Oversee day-to-day activities of the team and budget expenses.
• Prepare reports for leadership as requested.
• Train new hires and provide ongoing training as changes occur.
• Develop and maintain SOPs to support team work.
• Support patient experience scores through team actions.

Skills

Staff management

Process improvement

Data analysis

Communication

Education

Associate degree

Job description

Description

About AdaptHealth

At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond the hospital and at home.

With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care.

If you’re passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.

The Adapt Difference

• Commitment to Our People – Support, Development, and Advancement Opportunities
• Competitive Compensation and Incentives
• Comprehensive Total Rewards & Benefits
• Industry-Leading Care & Innovation
• Responsible Environmental Stewardship

Position Summary

The Manager, PAP is responsible for monitoring and measuring the operational flow of the department by tasking responsibilities to staff including intake, processing, and review of medical records to ensure medical necessity as well as ensuring the inbound calls have handled in a matter that reflects ideal metrics. The Manager, PAP is ultimately responsible for providing a great experience for customers and the PAP team, which includes prioritizing and developing departmental objectives, conducting effective resource planning to maximize productivity of resources and analyzing statistics relative to metrics set for the department. The Manager, PAP, typically oversees eight (8) or more direct reports.

Job Duties

• Follows through with the appropriate actions to resolve any questions and concern.
• Ensures staff are appropriately trained and held accountable for achieving standards and goals.
• Identifies root cause of issues and works with others to improve overall processes.
• Evaluates performance with key metrics (accuracy, call-waiting time etc.).
• Ensures consistent administration of staff compliance with all company and departmental procedures.
• Assists in the achievement of company goals and objectives by encouraging and facilitating cross-departmental initiatives and cooperation.
• Ensures achievement of the quality audit program through monitoring, coaching, and continuous feedback.
• Develops employee and team goals based on the organizational goals.
• Oversees the day-to-day activities of the team.
• Manages department budget and expenses.
• Prepares reports as needed for various departments and leadership as requested.
• Trains new hires according to standards and provides ongoing training as changes occur.
• Holds self and team members accountable for meeting performance expectations.
• Develops and/or maintains Standard Operating Procedures (SOP’s) that support the work of the team.
• Ensures that the actions of the team and others support the achievement of our patient experience scores.
• Provides feedback and recommendations on improving systems and processes.
• Works daily with other managers to ensure compliance with payer billing procedures.
• Identifies trends of issues by region for timely education back to other teams.
• Acts as a resource on practices and processes to provide appropriate guidance
• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback
• Other duties as assigned.

Minimum Job Qualifications

• Associated degree from an accredited college is required, advanced degree preferred
• Three (3) years’ work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry required
• Two (2) HME claims experience is preferred
• Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance.

Total Rewards & Benefits Program

• Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
• 401(k) with company match
• Paid Time Off Plans including 6 paid holidays
• Employee Stock Purchase Plan
• Paid Parental Bonding Leave
• Short and Long-term Disability Insurance
• Life and AD&D Insurance
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• CVS Minute Clinic and Teledoc access
• Spousal Advantage Reimbursement Plan
• Identity Theft Protection and Legal Plan

*Applicable waiting periods apply

Requirements Disclosure

• Company conducted Background Check is required for all roles
• Company conducted Motor Vehicle Record Check is required for driving roles
• Clinical roles require valid licensure/certification, where applicable

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com

In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx.

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.