Medical Scheduler

TEKsystems

19h•$17 - $20•Onsite

About The Position

- The PAP Specialist - Patient Equipment Repairs has a broad range of responsibilities including accurate and timely data entry, understanding, and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information/communication. This position will primarily focus on processing patient equipment repairs working with patients, their insurance, and the equipment manufacturers. - PAP Specialists are responsible for preparing and submitting audit paperwork for Medicare and other insurance claims to ensure continued compliance with healthcare guidelines. The PAP Specialist will accurately respond to claim audits and communicate audit results in such a way to provide education and appropriate process changes that directly impact the daily functions of the company. Job Duties: - Handle Spanish and English patient equipment repair phone calls requesting repair or service of equipment. Process orders, schedule visits, process equipment to send out for repairs, and track various orders and returns. - Basic trouble shooting of Pap machines - 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 Compliance Program - Other duties as assigned.

Requirements

customer service
order entry
inbound
outbound
call center
Data entry
insurance customer service
health care
call center
healthcare customer service
healthcare industry
healthcare medical
medicare
home medical equipment
home medical supplies
High School Diploma

Nice To Haves

Comes from a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.
Need to be very adabiltible to change
Team player up beat personality

Responsibilities

Handle Spanish and English patient equipment repair phone calls requesting repair or service of equipment.
Process orders, schedule visits, process equipment to send out for repairs, and track various orders and returns.
Basic trouble shooting of Pap machines
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 Compliance Program
Other duties as assigned.