Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Call Center Experience Medical Insurance Claims Medical Record Management Cross-Functional Collaboration Customer Experience Improvement Performance Analysis Standard Operating Procedure Billing Expense Management Medical Record Management Compliance Management Root Cause Analysis Employee Onboarding Resource Planning Personnel Selection Process Improvement

Other Skills

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Team Management
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Quality Assurance
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Data Reporting
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Decision Making
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Accountability
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Communication
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Time Management
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Teamwork
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Customer Service
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Detail Oriented
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Mentorship
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Problem Solving

Roles & Responsibilities

Associated degree from an accredited college required; advanced degree preferred.
Three years of work experience in health care administration, financial, or insurance customer services, claims, billing, call center, or management.
Two years of HME claims experience preferred.
Experience in a Medicare certified HME, IV, or HH environment that routinely bills insurance.

Requirements:

Oversee day-to-day PAP department operations, including intake, processing, and medical record review to ensure medical necessity and timely call handling.
Develop departmental objectives, perform resource planning, and analyze metrics to maximize productivity and achieve patient experience goals.
Train staff, monitor performance against standards, ensure SOPs and compliance, and hold team members accountable for results.
Identify process improvements, address root causes, and collaborate with other departments to support payer procedures and regional issue trends.

Job description

Description

AdaptHealth Opportunity – Apply Today!

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.

PAP Manager

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.

Requirements

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.

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.

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