PAP Specialist

AdaptHealth; Bellingham (MA); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Paid time off

Employee stock purchase plan

Parental leave

Disability insurance

Life and AD&D insurance

FSA/HSA

Telemedicine access

Spousal reimbursement plan

Identity theft protection

Job summary

AdaptHealth is seeking a PAP Specialist to manage accurate data entry, inventory, and service selection while coordinating with referral sources and using technology to document patient information. You will schedule pickup appointments, provide usage instruction, and explain and collect financial responsibility for PAP equipment.

The role includes preparing and submitting audit paperwork for Medicare and other insurance claims, addressing audits and implementing process changes to improve daily

Qualifications

• High School Diploma or equivalent is required.
• One year of work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management (any industry).
• Senior level requires two years of related experience and one year of exact job experience.

Responsibilities

• Develop and maintain working knowledge of current HME products and services and applicable insurance guidelines for eligibility and reimbursement.
• Collaborate with branches and teams to accomplish goals and share information.
• Enter data accurately into the database, including payer, authorization requirements, coverage limitations and requalification status.
• Coordinate with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation.

Education

High School Diploma or equivalent

One year of related healthcare admin/insurance/claims experience

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 PAP Specialist manages accurate data entry, inventory and service selection, referral source communication, and technology use to document patient information. This role ensures customers receive PAP equipment by scheduling pickup appointments, providing usage instruction, and explaining and collecting financial responsibility. The PAP Specialist also prepares and submits audit paperwork for Medicare and other insurance claims, responding to audits with communication and process changes that improve daily operations. Additionally, this role monitors and manages PAP device clients, encouraging ongoing compliance with equipment and program requirements.

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.

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.

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

Compensation based on geolocation and experience: $22-25 an hour

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.