Qureos Mentor

AdaptHealth

<div>Description:

Position Summary:
The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordance with AdaptHealth&rsquo;s policies and procedures. Respiratory care will be preventative, rehabilitative, and palliative in nature. The RT will utilize all the resources available within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues.
Essential Functions and Job Responsibilities:<ul><li>
Utilizes various sources of information to attain greater competence about his or her position, including attending educational events (including attending optional in-services) and asking questions.</li><li>
Utilizes acquired knowledge to increase his or her competencies.</li><li>
Consistently demonstrates ability to adequately complete all documentation and charting procedures in compliance with company policy and procedures.</li><li>
Maintains complete and accurate patient files by updating all documents per company policy and procedures.</li><li>
Reviews Plan of Treatments and Care Plans to assure they are accurate and up to date.</li><li>
Documents procedures including how the patient tolerated a procedure, side effects and other pertinent information.</li><li>
Assists with authorization for Ventilator referrals for patients.</li><li>
Shows adequate knowledge of respiratory equipment and displays ability to utilize knowledge in the clinical setting.</li><li>
Displays knowledge of assessment skills and demonstrates application of clinical skills during set-ups, follow-ups, and in-services.</li><li>
Participates in discharge planning of highly technical cases.</li><li>
Performs clinical assessments as needed and reports results and recommendations to the referral and physician.</li><li>
Participates in highly technical discharges and prepares in advance to assure the patient and caregivers have a smooth transition to the home setting.</li><li>
Performs in-services to hospital staff, referrals, other professionals regarding equipment &amp; issues of clinical nature.</li><li>
Follows up with physician and referrals regarding patient status and documents accurately and in a timely manner.</li><li>
Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.</li><li>
Works to promote AdaptHealth by new program development, operational backup, personal visits, coordination of educational activities, etc.</li><li>
Assume on-call responsibilities during non-business hours in accordance with company policy.</li><li>
Uses clinical expertise in evaluating vent patients records once a ventilator set up has been completed by the branch Respiratory Therapist.
</li><li>Ensures accuracy of prescriptions and plan of care was followed and documented. Also reviews delivery tickets, home inspection, ventilator check, and patient equipment competencies are complete and documented.</li><li>
Maintains proficient knowledge of ventilator patients including compliance software, new technology, units, and supplies supported by Adapthealth.</li><li>
Ability to demonstrate and instruct on use of vent units and supplies. Ability to make decisions for patients based on compliance data and assessment.</li><li>
Communicates with team, physicians and referral sources and other patient agencies ensuring prompt attention to patient care issues.</li><li>
Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation.
</li><li>Electronically documents patient care activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards.</li><li>
Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely manner.</li><li>
Responsible for accuracy, clarity, and timeliness of verbal and written communications as it relates to role.</li><li>
Responsible for documentation that supports data collection to track and trend outcomes.</li><li>
Assists in establishing clinical documentation when needed for third party reimbursement or justification.</li><li>
Uses knowledge in working with referral sources to educate about best practice standards.</li><li>
Works collaboratively and pro-actively with peers and other team members to resolve issues and assure optimum outcomes for patients, referral sources and staff.</li><li>
Acts as a resource on practices and processes to provide appropriate guidance.</li><li>
Develop and maintain working knowledge of current HME products and services offered by the company.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other educational programs as required.</li><li>
Maintains compliant with AdaptHealth&rsquo;s Compliance Program.</li><li>
Perform other related duties as assigned during and outside of normal business hours as needed.</li></ul>
Competency, Skills, and Abilities:<ul><li>
Experience with ventilator patients</li><li>
Competent in Ventilator, Airway Clearance, and Oxygen therapy administration and management</li><li>
Able to perform clinical assessments.</li><li>
Equipment troubleshooting and maintenance skills.</li><li>
Decision making skills.</li><li>
Expert communication and interpersonal skills</li><li>
Ability to prioritize tasks and manage multiple projects.
</li><li>Strong analytical and problem-solving skills with attention to detail</li><li>
Proficient use of Microsoft Office Suite &ndash; Excel, Word, and PowerPoint</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.</li><li>
Knowledge of the regulatory requirements at the state, federal, and local level</li><li>
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.</li><li>
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
Associates degree from an AMA approved respiratory program,</li><li>
Valid and unrestricted RT clinical license in all states serviced by the branch.</li><li>
Must be CPR certified,</li><li>
One (1) year of clinical experience as a Health Care RT, HME RT or clinical nursing with Vent experience.</li><li>
Valid and unrestricted driver&rsquo;s license</li></ul>
Physical Demands and Work Environment:<ul><li>
Must be able to lift 50 pounds, stand, bend, stoop, and be able to sit at a computer for extended periods of time.</li><li>
Must be able to perform one-man CPR.</li><li>
Ability to perform repetitive movements of the upper extremities&rsquo; motions of wrists, hands, and/or fingers due to extensive computer use.</li><li>
May be exposed to unsanitary conditions in some home settings.</li><li>
Work environment may be stressful at times, as overall office activities and work levels fluctuate.</li><li>
May be exposed to high crime areas within the service community.</li><li>
Subject to long periods of sitting and exposure to computer screen.</li><li>
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.</li><li>
May be exposed to angry or irate customers or patients.</li><li>
Must be able to drive and travel as needed.</li><li>
Physical and mental ability to provide clinical assessments.</li><li>
Requires travel throughout service area.</li><li>
Mental ability to communicate both verbally and in writing.</li><li>
Must be able to access the patient&rsquo;s residence.</li><li>
Ability to work outside of normal business hours.</li><li>
Physical and mental ability to provide clinical assessments.</li></ul></div>

Respiratory Therapist Vent - Field

<div>Description:

AdaptHealth Opportunity &ndash; Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives &ndash; 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&rsquo; lives, please click to apply, we would love to hear from you.
Pharmacy Specialist
The Pharmacy Specialist assists customers with remote processing of orders through the Pharmacy channel. This position coordinates order processing with Pharmacist(s) and Pharmacy Tech(s) in accordance with normal order process. This position does not perform Pharmacy Technician duties unless licensed.
Job Duties:<ul><li>
Confer with customers by telephone, email, or SMS messaging to provide information about products or services, cancel accounts, or upgrade accounts.</li><li>
Assist with processing of pharmacy sales orders, process payments, refunds, or exchanges.</li><li>
Inform customers of deals and promotions, answer questions about warranties and terms of sale.</li><li>
Sell products and services and solicit sales of new or additional products or services.</li><li>
Call insurances to obtain patient PBM coverage information</li><li>
Accurate data entry into system</li><li>
Document collection and storage</li><li>
Contact doctor offices to collect and request prescriptions, authorizations, clinical notes, and lab results.</li><li>
Run pharmacy test claims and communicate copays to the patient</li><li>
Answer phones and provide customer service.</li><li>
Keep workspace and common pharmacy areas clean.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA</li><li>
Other duties as assigned.</li></ul>
Requirements:

Minimum Job Qualifications:<ul><li>
High school diploma is required</li><li>
Three (3) years of prior Pharmacy experience is required</li></ul>
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual&rsquo;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.</div>

Pharmacy Intake Specialist

<div>Description:

AdaptHealth Opportunity &ndash; Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives &ndash; 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&rsquo; 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&rsquo;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:<ul><li>
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.</li><li>
Is actively involved in team activities, evidenced by participation, mentoring, and training with co-workers</li><li>
Assists in the development and maintenance of reference materials for use by staff and facilitates the sharing of information</li><li>
Develops relationships with branches, other teams to accomplish goals</li><li>
Participates in monthly team meetings and trainings</li><li>
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</li><li>
Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation as well as educating, as necessary.</li><li>
Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA</li><li>
Completes assigned compliance training and other educational programs as required</li><li>
Maintains compliant with AdaptHealth&rsquo;s Compliance Program</li><li>
Other duties as assigned.</li></ul>
Requirements:

Minimum Job Qualifications:<ul><li>
High School Diploma or equivalent</li><li>
One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.</li><li>
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.</li></ul>
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual&rsquo;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.</div>

PAP Specialist

<div>Description:

Position Summary:
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region&rsquo;s individual needs. As needed, may need to deliver and set up medical equipment.
The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.
Essential Functions and Job Responsibilities:<ul><li>
Supports operations team with discovery and training as necessary with AdaptHealth processes.</li><li>
Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.</li><li>
Develop and maintain working knowledge of current products and services offered by the company</li><li>
Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.</li><li>
Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end, which may include</li></ul><ul><li>
Review all required documentation to ensure accuracy</li><li>
Accurately process, verify, and/or submit documentation</li><li>
Complete insurance verification to determine patient&rsquo;s eligibility, coverage, co-insurances, and deductibles</li><li>
Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required (if helping a region)</li><li>
Navigate through multiple online EMR systems to obtain applicable documentation</li><li>
Enter and review all pertinent information in EMR system including authorizations and expiration dates</li><li>
Meet quality assurance requirements and other key performance metrics</li></ul><ul><li>
Pays attention to detail and has great organizational skills</li><li>
Actively listens to teams, region leaders and handle stressful situations with compassion and empathy.</li><li>
Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections.</li><li>
Collaborate with the Operations Team on exceptions and solutions within workflow processes</li><li>
Communicate with operations teams and leadership on an on-going basis regarding any noticed trends in process errors with insurance companies</li><li>
Assist with various projects and tasks as needed for various unique processes</li><li>
Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices.</li><li>
Participate in the effort to create training materials and train client engagement and service teams</li><li>
Must be able to navigate through multiple online EMR systems to obtain applicable documentation.</li><li>
Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.</li><li>
As needed, perform patient assessment and re-assessment for patient care, deliver medical equipment.</li><li>
Safely drive as needed and maintain company vehicle.</li><li>
Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.</li><li>
Assume on-call responsibilities during non-business hours in accordance with company policy.</li></ul><ul><li>
Lead Responsibilities:</li><li>
Supervise and provide guidance to team members in daily operations and complex case resolution</li><li>
Lead team meetings and facilitate training sessions for staff development</li><li>
Monitor team performance metrics and productivity standards, providing feedback and coaching as needed</li><li>
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions</li><li>
Develop and implement process improvements and workflow optimization strategies</li><li>
Coordinate with management on staffing needs, scheduling, and resource allocation</li><li>
Conduct new employee onboarding and ongoing training programs</li><li>
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions</li><li>
Prepare reports and analysis on team performance, trends, and operational metrics for management review</li></ul><ul><li>
Maintains patient confidentiality and functions within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other education programs as required.</li><li>
Maintains compliance with AdaptHealth's Compliance Program.</li><li>
Performs other related duties as assigned.</li></ul>
Competency, Skills and Abilities:<ul><li>
Excellent ability to communicate both verbally and in writing</li><li>
Ability to prioritize and manage multiple tasks</li><li>
Proficient computer skills and knowledge of Microsoft Office</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction</li><li>
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.</li><li>
Work well independently and as part of a group</li><li>
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required; Associate&rsquo;s degree in healthcare administration, Business Administration, or related field preferred</li><li>
Valid and unrestricted driver's license in the state of residence.</li><li>
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services</li><li>
Specialist Level: (Entry Level):</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Must be able to regularly lift and/or move up to 50 pounds, frequently lift and/or move up to 100 pounds, and occasionally lift and/or move up to 160 pounds.</li><li>
Must be able to stretch, bend, stoop and crouch and perform moderate to heavy physical labor while moving equipment and supplies.</li><li>
Subject to long periods of sitting and/or driving.</li><li>
Work environment may be stressful at times, as overall work activities and work levels fluctuate.</li><li>
May be exposed to unsanitary conditions in some home settings.</li><li>
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.</li><li>
May be exposed to high crime areas within the service community.</li><li>
Must be able to drive independently and travel as needed.</li><li>
May be exposed to angry or irate customers.</li><li>
Must be able to access the patient&rsquo;s residence without assistance.</li><li>
Ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.</li></ul></div>

Operations Specialist

Join AdaptHealth and explore 5   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

AdaptHealth

About Company

Respiratory Therapist Vent - Field

Pharmacy Intake Specialist

PAP Specialist

Operations Specialist

PAP Specialist