PAP Resupply Coordinator

Sleep Centers LLC; Murfreesboro (TN); On-site; USD 36,000 - 48,000; Full time

Job summary

Sleep Centers LLC in Murfreesboro, TN is seeking a PAP Resupply Coordinator to manage ongoing supply orders and patient communications, ensuring timely delivery and accurate insurance processing.

Responsibilities include verifying benefits, entering orders, and explaining billing responsibilities while maintaining HIPAA standards in a fast-paced clinical setting.

Qualifications

• Experience in a medical office environment and familiarity with managed care, medical terminology, and records management.
• Ability to verify eligibility, benefits, and provide cost estimates for resupply orders.
• Knowledge of HIPAA regulations and patient privacy best practices.

Responsibilities

• Verify eligibility, confirm patient benefits, and provide resupply estimates.
• Enter supply orders into software to generate insurance claims.
• Explain billing processes and patient financial responsibilities for resupply orders.
• Maintain up-to-date knowledge of HCPCS codes, billing frequencies, and guidelines.
• Perform in-person mask fittings, machine checks, patient re-education, and distribute loaner equipment.
• Adhere to HIPAA standards and OSHA/policy procedures.

Skills

HIPAA compliance

Customer communication

Medical terminology

Organization & time management

Attention to detail

Education

Experience in medical office environment

Tools

eClinicalWorks

Bonafide

Niko

VoIP systems

Microsoft Office

Job description

Role Summary

The PAP Resupply Coordinator is responsible for managing ongoing PAP supply orders, patient communication, insurance verification, and order processing while ensuring a positive patient experience and timely delivery of supplies.

Key Responsibilities

DME Support and Patient Interaction

• Verify eligibility, confirm patient’s benefits, and provide estimates for resupply requested.
• Explain billing processes and patient financial responsibilities for resupply orders.
• Enter supply orders into relevant software systems to generate insurance claims.
• Maintain up-to-date knowledge ofHCPCS codes, billing frequencies, and applicable insurance guidelines.
• Perform, as needed, in-person mask fittings, machine checks, patient re-education, and distribution of loaner equipment.

Other general expectations of the role

• Carefully adhere to HIPAA standards and procedures to ensure the privacy and confidentiality of our patients’ personal and medical information in every interaction.
• Understand and practice regulatory standards and organization policies and procedures including but not limited to: OSHA, infection control, and patient care policies and procedures.
• Expected hours are Mon – Fri 8:00 am to 5:00 pm.
• Return all patient telephone encounters within 24 hours of the entry time of the encounter
• Return all internal telephone encounters to ensure peers receive timely responses to requests.

Adherence to Core Values

• Demonstrate commitment: Display loyalty and commitment to help team members, patients, and referring providers achieve the best outcomes
• Display relational empathy: Understand that relationships thrive with effective communication through active listening, putting ourselves in other’s shoes, and authentic caring about others’ success
• Win-Win-Win: Do great things together as a team, not as an individual. Ensure that each of your action is in the best interest of or patients, our people, and our practice.
• Embrace and Drive Change: There’s always a better way-and we won’t rest till we find it. We know that all growth requires change. Actively commit to transforming the field of sleep medicine for the good of our patients and team members. Embrace and drive change personal change to adapt and grow with practice.

Experience

• Prior experience working in a medical office environment is highly preferred.
• Strong understanding of managed care plans, medical terminology, and medical records management.
• Familiarity with insurance verification procedures, including the use of electronic health record (EHR) systems and insurance portals.
• Knowledge of HIPAA regulations to ensure patient privacy and data security are upheld at all times.

Physical requirements

• Sitting or standing for long periods of time
• Light object lifting/moving, up to 20 pounds

Additional Essential Skills

• Proven and advanced use of technology including and not limited to Dual computer screen processing, eClinicalWorks, Bonafide, Niko, Voice over IP Phone system (softphone), Microsoft suite of products (Outlook, Teams, OneDrive).
• Organization of workspace and optimization of time.
• Communication - advanced written, typing, verbal and listening communication skills.
• Ability to function confidently and thrive in a fast-paced, highly dynamic work environment.
• Priority management - Able to perform a variety of tasks; often changing from one task to another without loss of effectiveness or composure and be able to perform under stressful conditions when presented with multiple requests in a short time.