PAP Specialist

Job Type

Full-time

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 Specialist

The PAP Specialist 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. Intake Specialist’s schedules can vary based on the need of the branch. Hours can range anywhere between 8am and 7pm 7 days/week.

Responsible for ensuring customers receive PAP equipment by scheduling an appointment for the customer to come in to pick up equipment and receive proper instruction on how to best use the equipment. Explains customers financial responsibility and ensure payment.

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 AdaptHealth.

Responsible for monitoring, communicating, and managing all clients on Positive Airway Pressure devices. Responsible for encouraging client compliance with PAP equipment and program.

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.

Requirements

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.

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.

Mortgage Loan Processor

Description

AmeriSave Mortgage has set the standard in online mortgage lending with over $130 billion in funded loan volume. As one of the top-rated, largest privately-owned online mortgage lenders in the nation, our mission is to deliver beneficial, responsible home lending solutions with unwavering integrity, dedication and excellence.

Our employees are the driving force behind our success. We believe in the power of a dynamic and talented workforce and creating an environment where your contributions are not just recognized, they’re celebrated. Your success is our success, and we are seeking skilled professionals who are ready to bring their A-game, exceed benchmarks and enhance the overall excellence of AmeriSave, while also growing and advancing their careers. 

At AmeriSave, we’re one team with one shared dream – to be the best.  Let’s redefine excellence together! 

What we’re looking for: 

AmeriSave is currently hiring Loan Processors to join our winning team. We offer advanced technology and support roles that enable our processors to easily manage larger pipelines and earn lucrative bonuses that are paid out every pay period. The ideal candidate has superb customer service skills, is well versed in general mortgage knowledge and guidelines, and loves working in a fast-paced environment. Candidates must be detail oriented with strong written and verbal communication skills.

This is a remote opportunity to work from home.  The schedules for this position are Tuesday – Saturday or Sunday – Thursday.  11am – 8pm EST. 

What You’ll Do:  

  • Responsible for a pipeline of 40-50 loans per month, both refinances and home equity loans
  • Review loan application package for completeness and accuracy, reconcile application against system input
  • Responsible for gathering required documentation from customer and third parties in support of the loan approval decision
  • Responsible for prompt, professional communication to customers, loan officers & underwriters
  • Responsible for calculating and analyzing income, assets and liabilities
  • Utilization of AUSSIE and company procedures
  • Establish an ongoing relationship by delivering best-in-class customer service

What You’ll Need: 

  • Minimum of 2 years recent mortgage loan experience
  • Must be self-directed, motivated, and comfortable working in an extremely fast paced environment
  • Must be proficient in Microsoft Office, DU, LP, CRM
  • Exceptional problem-solving and customer service skills
  • Detail-oriented and demonstrate excellent decision making skills
  • Excellent communication skills

**Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to the Colorado Equal Pay for Equal Work Act and Equal Pay Transparency Rules. It is estimated based on what a successful Colorado applicant might be paid. It assumes that the successful candidate will be in Colorado or perform the position from Colorado. Similar positions located outside of Colorado will not necessarily receive the same compensation. **

Compensation

The hourly rate for this position is $15 per hour (or greater only if your state of residency requires so) plus bonus per pay period based upon individual performance. Target annual compensation for this position is $60,000 to $140,000. 

Benefits:

·         401(k)

·         Dental insurance

·         Disability insurance

·         Employee discounts

·         Health insurance

·         Life insurance

·         Paid time off

·         12 paid holidays per year

·         Paid training

·         Referral program

·         Vision insurance

Supplemental pay types:

·         Bonus

·         Referral bonuses 

AmeriSave is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

California Consumer Privacy Act Disclosure Acknowledgment

Employment Applicants, New Hires, and Employees Residing in California

AmeriSave Mortgage Corporation’s Privacy Policy Statement (“Policy”) can be reviewed here: www.amerisave.com/privacy-policy

AmeriSave Mortgage Corporation’s California Consumer Privacy Act (“CCPA”) Recruitment Disclosure can be reviewed here: https://www.amerisave.com/ccpa-recruitment-disclosure/

When AmeriSave’s Human Resources Department makes future requests for personal information, the same Policy is applicable. By applying, you understand this acknowledgment covers current and future personal information requests. You also acknowledge the business purpose of the personal information collected and that future requests may occur while applying for a position at AmeriSave and/or during employment, if applicable.

Reimbursement Specialist

Description

From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.

Job Title: Reimbursement Specialist

POSITION SUMMARY:

Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider account inquiries, appropriately documents all provider, payer and client interactions into the CareMetx Connect system and ensures that the necessary data for prior authorization request are obtained.

PRIMARY DUTIES AND RESPONSIBILITIES:

  • Collects and reviews all patient insurance benefit information, to the degree authorized by the SOP of the program.
  • Provides assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications.
  • Completes and submits all necessary insurance forms in a timely manner as required by all third party payors for prior authorizations. Tracks and follow up on prior authorization request.
  • Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly.
  • Maintains frequent phone contact with provider representatives, third party customer service representatives, and pharmacy staff.
  • Reports any reimbursement trends/delays to supervisor.
  • Processes any necessary insurance/patient correspondence.
  • Provides all necessary documentation required to expedite prior authorization request. This includes demographic, authorization/referrals, National Provider Identification (NPI) number, and referring physicians.
  • Coordinates with inter-departmental associates as necessary.
  • Communicates effectively to payors to ensure accurate and timely benefit investigations.
  • Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercises judgment within defined standard operating procedures to determine appropriate action.
  • Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP)
  • Typically receives little instruction on day-to-day work, general instructions on new assignments.
  • Other duties as assigned – Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Requirements

Qualifications

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

  • High School, Diploma, or GED required
  • Previous 1+ years of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, and/or related experience.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

  • Ability to communicate effectively both orally and in writing.
  • Ability to build productive internal/external working relationships.
  • Strong interpersonal skills.
  • Strong negotiating skills.
  • Strong organizational skills; attention to detail.
  • General knowledge of pharmacy benefits, and medical benefits.
  • Global understanding of commercial and government payers preferred.
  •  Ability to proficiently use Microsoft Excel, Outlook and Word.
  •  Ability and initiative to work independently or as a team member.
  •  Ability to problem solve.
  •  Strong time management skills.
  •  Customer satisfaction focused.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  •         While performing the duties of this job, the employee is regularly required to sit.
  •         The employee must occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Schedule

  • Must be flexible on schedule and hours 
  • Overtime may be required from time to time
  • Must be willing to work weekends if required to meet company demands

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Salary Description

$30,490.45 – $38,960.02

Seasonal Gift Wrapper

Experienced gift wrappers for holiday, remote and internship jobs. You must follow brand, be on brand, and love the creative and client experience.

Description

Full Job Description

Experienced gift wrappers for holiday, remote and internship jobs. You must follow brand, be on brand, and love the creative and client experience. Details matter and you will be a part of a growing company with other women across the nation. We work as a team remotely, presenting a professional appearance and not afraid to talk and be creative however, on brand. You will be responsible to wrap gifts of all different shapes and sizes, sometimes driving to the location and setting up to wrap. You will be responsible to communicate to the client and to the company.

This could be an internal destination, or into a shipping or delivery process. As a responsible and amazing person, you can be responsible for receiving, unpacking, processing, organizing, storing, packaging, labeling merchandise. and gift wrapping.

Experienced Gift Wrapper Associate Duties & Responsibilities

Duties and responsibilities include the following:

  • Ensure that products all tags off, labeled properly, and properly distributed if needed.
  • Ensure that products are safely packaged and gift wrapped.
  • Organize the paper, ribbon, and ensure accurate labeling, logical placement, neat arrangement, and cleanliness and have fun!

Education, Training, & Certification

  • Education: High school diploma or GED equivalent. Can be an intern job for a season.
  • Background checks: This position can have access to large quantities of new merchandise, so most employers will require some combination of criminal, background, credit, and driving record screenings. A valid driver’s license and a clean driving record will also be required if driving is required for the job.
  • Experience:This could be an entry level position. Previous gift wrapping, stock, receiving, inventory, or retail experience is preferred but not required

Gift Wrapping Skills & Competencies

  • Organization and multitasking skills: High levels of efficiency and engagement are required while performing repetitive tasks although fun and creative.
  • Communication skills:You should be able to clearly communicate specifications to co-workers, orally and in writing.
  • Computer skills:A basic understanding of Microsoft programs such as Excel, Access, and Outlook would be helpful, along with experience with other inventory-specific software programs. Best would be Canva, photography and social media.

Work Environment

This isn’t a career for those who prefer to avoid physical exertion. The job usually requires standing or walking for up to eight hours at a time and requires the handling of merchandise, supplies, and materials, which can be physically demanding.

Salary

$18 – $20 per hour