What are the responsibilities and job description for the PAP Resupply Specialist position at Performance Home Medical?
Job Details
Description
Performance Home Medical has been a leader in providing quality products and services since 1995.
At Performance Home Medical, our patients come first. Using the latest technology and best clinical support, we help our patients take control of their conditions and live longer and healthier.
We are seeking a motivated, high energy, individual to join our Resupply team. As a part of our Resupply team you must be responsible, reliable, detail orientated and can multitask in a fast-paced environment. You must also have good people skills to deal with patients, referral sources, and insurance companies on the phone and internet. Previous professional experience or educational background in healthcare a plus but not required. A background in medical equipment preferred but we will train the right candidate.
We’ve got a fun, positive, performance-oriented team with a great culture and offer an extensive benefits package including Medical, Dental, Vision, Life, AD&D, 401k, EAP, 8 paid holidays and more. We also offer a comprehensive onboarding and training program to help ensure your success.
Job descriptions and needs would entail but not limited to:
- Reviews and qualifies each order received to assure coverage and reimbursement
- Works with and educates referral sources on needed documentation for coverage
- Follows insurance plan guidelines as well as state and federal regulations
- Verifies and enters insurance data into the patients medical record
- Submit patient information to insurance plans for required authorizations
- Educates patients, referral sources and coworkers on insurance coverage criteria
- Maintains and requests on-going authorizations when required to assure flow of revenue
- Monitors and processes CMN's according to the insurance plans requirements
- Answer incoming calls in an efficient and courteous manner
- Other duties assigned by manager
Qualifications
- Ability to learn quickly.
- Team player that will contribute for a professional and fun environment to work in.
- Prioritize multiple tasks efficiently and independently in a fast-paced environment.
- Competency in working within a healthcare billing and records system a plus.
- Troubleshooting patient issues with their account including detailed review of invoices submitted to their insurance companies.
- Ability to de-escalate situations involving dissatisfied patients.
Salary : $19 - $24
