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Registered Nurse, Telehealth (Compliance) Active Pooling

Escalated Solutions, Inc DBA Healthscope Services is a remote staffing company operating in the Philippines for over 13 years serving clients in the US, Australia and New Zealand. We recently opened a new division, Agility Staffing Solutions, and we are seeking to expand our team with a highly motivated and organized Sales Appointment Setter.

SUMMARY: RN’s in this role are primarily responsible for monitoring compliance and communicating with patients via phone or video. RNs provide education on cleaning, maintenance, and use of PAP equipment according to the patient’s prescription and act as a representative of the patient ensuring all documentation and compliance standards are met to provide the patient the best chance of succeeding with therapy.

KEY RESPONSIBILITIES:

Monitor patients on PAP devices on a daily basis through compliance software
Document all patient and physician interactions within the compliance software
Follow up with patients to address issues with compliance or troubleshooting of mask and equipment
(making outbound calls and taking inbound calls as required)
Communicate with local branches for follow ups needed for patients by field RT
Obtain compliance download reports, input in billing software and submit to referring physicians
Contact patients to ensure follow-up appointments with physicians are scheduled and met
Follow up with physician’s offices to obtain face-to-face notes from appointments with patients
Coordinate patient resupply issues with the PAR and resupply teams
Assist with related workgroups’ responsibilities as required and directed
Participate in internal trainings on equipment and procedure in accordance with AdaptHealth requirements

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Ability to communicate effectively and tailor communication style to a varied audience; listen attentively with empathy to concerns expressed by others and keeps the necessary people up to date with any information they need to know and at the right times.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

Currently licensed registered nurse or respiratory therapist
Minimum one-year hospital or clinical experience
Minimum one year in an environment communicating verbally with American’s or other English speaking nationals, preferably in a healthcare delivery setting
Familiarity with sleep apnea related home medical equipment and related supplies preferred

WORK ENVIRONMENT:

While performing the duties of this job, the employee is occasionally exposed to the following conditions: work near moving mechanical parts. The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

PHYSICAL DEMANDS:

While performing the duties of this job the employee is regularly required to sit, talk, hear and use hands. The employee is occasionally required to stand, walk, reach with hands and arms, stoop, kneel, crouch, crawl, taste/ smell, and lift/move (up to 25 lbs). Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Registered Nurse, Telehealth (Setups) Active Pooling

SUMMARY:

RN’s in this role are primarily responsible for providing patient setups via phone or video. RNs provide education on cleaning, maintenance, and use of PAP equipment according to the patient’s prescription.

KEY RESPONSIBILITIES:

Maintain a strong working knowledge, insight, and understanding of industry PAP machines
Contact patients within 24 hours of notification to schedule a setup or revisit within 72 hours
During video telehealth calls, dress in the AdaptHealth branded scrubs provided. Maintain an exemplary appearance and grooming in order to project an image of cleanliness, dress, neatness and professionalism
Complete in-home setup of patients on CPAP therapy via phone or video telehealth platform in compliance with all State regulations and AdaptHealth policies and procedures
Accurately complete and submit all paperwork (i.e. setup/revisit tickets) within 24 hours of setup or revisit
Interact with coworkers as required maintaining professionalism and a spirit of teamwork
Communicate regularly with the corporate office and respond to inquiries about setups or revisits (via email and/or phone call from the corporate office) as soon as possible
Maintain a good working relationship with the Territory Managers and/or Sales Reps (if applicable)
Complete any required trainings on equipment or procedure in accordance with AdaptHealth requirements

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Ability to communicate effectively and tailor communication style to a varied audience; listen attentively with empathy to concerns expressed by others and keeps the necessary people up to date with any information they need to know and at the right times.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

Currently licensed registered nurse or respiratory therapist
Minimum one-year hospital or clinical experience
Minimum one year in an environment communicating verbally with American’s or other English speaking nationals, preferably in a healthcare delivery setting
Familiarity with sleep apnea related home medical equipment and related supplies preferred

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Document Intake (Fax Intake) Active Pooling

SUMMARY:

This position is responsible for ensuring that new referrals and new referring sources are accurately processed and all documents received by the company from external sources are accurately processed.

KEY RESPONSIBILITIES:

Process new referrals and related documents in Brightree
Upload, route and process all incoming documents related to existing patients/referral sources including setup tickets, patient revisit forms, and assignment of benefits forms
Input new physicians and complete PECOS license verifications
Coordinate document intake with other internal departments as necessary

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Insurance Intake (IV Intake) Active Pooling

SUMMARY:

This position is primarily responsible for confirming patient insurance benefit information and coordinating collection of any missing documents required for approving service to the patient, in a timely manner.

KEY RESPONSIBILITIES:

Complete verification of patient insurance benefits
Request and coordinate missing documents required for approval of service to the patient
Take incoming calls from existing patients regarding insurance benefits matters related to their approval
Accurately record patients’ out-of-pocket information
Process patient approvals for service
Effectively communicate approvals to patients, physicians, and field services staff
Communicate and effectively resolve approval issues with referring sources

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Audit & Doc (QA & Scheduling) Active Pooling

SUMMARY:

This position is primarily responsible for requesting missing and/or additional documentation required for approval of service and for scheduling service with patients.

KEY RESPONSIBILITIES:

Review and ensure validity and completeness of the medical documentation received from the referring physician prior to service of patients
Effectively communicate and resolve missing document issues with field personnel, patients and medical office personnel as is relevant, for approval of service
Coordinate the scheduling of service with patients
Take incoming calls from existing patients related to documentation and scheduling for service
Assist with and handle additional tasks and projects when given

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Insurance Billing (Denials) Active Pooling

SUMMARY:

This position researches and resolves denials on insurance claims submitted for reimbursement. Insurance payor web portals and phone calls are used to research claim status and then take the necessary steps to correct any denied claims and resubmit the claims for payment within timely filing guidelines.

KEY RESPONSIBILITIES:

Review and resolve 40 accounts assigned via work lists daily as directed by management
Focus on working complex denials across multiple payers and/or regions
Note timely filing guidelines for each claim and prioritize work to ensure each claim is submitted within those requirements
Conduct account history research as required and researches the payer remittance advice
Maintain daily ERL’s in Brightree
Appeal denied claims, including researching underlying root cause, collecting required information or documents, resubmitting claims, and all appropriate follow up activities to ensure adjudication of the claim
Perform outgoing calls, corresponds with insurance companies to obtain necessary information

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Insurance Billing (PARs) Active Pooling

SUMMARY:

This position is responsible for efficiently requesting prior authorizations (“PAR”) with insurance companies.

KEY RESPONSIBILITIES:

Efficiently make PAR requests to insurance payors as required for approval for service of patients
Obtain and chart accurate PAR information required for billing a ‘clean claim’
Request authorization extensions as required
Follow up on authorization denials and appeal with necessary documentation
Identify new and expired authorizations
Resolve held invoices and stopped orders due to missing/expired authorizations
Assist with rush authorization requests from AdaptHealth personnel
Correctly follow WIP procedures for sales orders with a valid PAR for service.

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

Patient Services Representative, Patient Collections (Revenue Cycle Management) Active Pooling

SUMMARY:

This position is responsible for ensuring that patient collections are effectively resolved and accurately processed in a timely manner.

KEY RESPONSIBILITIES:

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
Demonstrated ability to identify different claim types (e.g. INN/OON claims)
Take incoming calls from patients regarding outstanding amounts owed
Effectively communicate with patients regrading insurance benefits and patient-pay responsibility
Investigate any billing issues patients have whether that is insurance or self-pay related (if insurance related pass along to the appropriate insurance collections work group)
Maintain accurate patient charts when detailing call content and actions
Process patient payments including payment plans and credit cards
Effectively balance transfer paid patient amounts
Process any related patient pay correspondence (PDPT, MPP and EOB letters)
Coordinate any required discussion on an insurance Explanation of Benefits advice with patient and peers
Request and coordinate missing claim information with peers
Successfully identify collection accounts and coordinate with peers
Assist patient on creating their online account and resetting password
Assist patients with claim status calls to their insurance company
Print EOB letter with patient invoices
Provide back up to customer service when needed
Advise supervisor of any recommended change to policy or procedure stemming from issues being presented at the patient pay level.

SKILLS AND ABILITIES REQUIRED:

Working knowledge of Microsoft Office (Mail, Word, Excel) and Internet browsing.
Well organized, detailed oriented with excellent follow-through.
Ability to complete tasks within a given time frame. Fosters a sense of urgency and follow through to resolve outstanding issues in a timely manner.
Works well with others regardless of their level or background; is respectful; maintains positive relationships even under stressful or difficult circumstances; deals with different points of view or disagreements in a constructive, successful manner.
Ability to function well while involved in multiple task assignments and in a fast-paced environment.
Anticipates and prepares for short and long-term challenges/trends; sees how his/her work relates to others as well as the organization as a whole; understands implications of decisions; translates ideas and concepts into practical applications.
Language: Intermediate ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Reasoning: Intermediate ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

CREDENTIALS AND EXPERIENCE REQUIRED:

College graduate or equivalent, preferably RN but not required
Medical terminology and medical insurance industry experience preferred
Experience with Brightree software preferred
Familiarity with home medical equipment and related supplies preferred
Knowledge of major insurance carrier reimbursement guidelines and coverage (preferred)

WORK ENVIRONMENT:

PHYSICAL DEMANDS:

BENEFITS:

Comprehensive healthcare benefits package.
Professional development opportunities.
Holiday & Overtime Pay

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Work with us and build success stories we can be proud of

Our list of current job openings. Join us and take your career to a higher level.

Sales Manager

(Offshoring Staffing Services)

LOCATION: WFH or from our Ortigas Center or Angeles City office.

Are you a seasoned professional with a successful sales background (candidates with a strong insurance sales background highly regarded), looking to lead a dynamic team while reaching high earning potentials? Look no further. We are looking for you!

SUMMARY: At People Ready Inc (DBA Agility Staffing Solutions), we are a leading provider of offshoring staffing services, dedicated to helping our clients achieve their business goals by providing high-quality service. We are currently seeking an experienced and ambitious Sales Manager to join our team.

ABOUT THE ROLE: In this critical role, you will be responding to direct marketing inquiries (no cold calling), and selling in our services. As a Sales Manager, you will utilize your experience to build and lead a small results-driven sales team.

KEY RESPONSIBILITIES:

Develop and execute effective sales strategies.
Lead the sales team members to achieve sales targets.
Respond to client inquiries, identify their needs, and propose tailored staffing solutions.
Establish productive and professional relationships with key personnel in your customer accounts.
Manage and oversee the daily operations of the sales department.

QUALIFICATIONS:

Bachelor’s degree (B. A.) in Marketing, Business, or related field
Minimum of 5 years of successful sales experience, preferably in the insurance industry or remote outsourced staffing
Demonstrated ability to communicate, present and influence credibly and effectively at all levels of the organization.
Proven ability to drive the sales process from plan to close.
Strong business sense and industry expertise.
Excellent mentoring, coaching, and people management skills.

BENEFITS: We offer an attractive compensation package that includes a competitive starting salary, commissions, and overrides as well as an HMO plan for yourself and immediate family. Also, you will have an opportunity to be part of a supportive, entrepreneurial environment that values teamwork, effort, and results.

If you are ready to bring your experience, passion, and drive to an innovative team where you can make a significant impact, we want to talk with you!

TECHNICAL REQUIREMENT

COMPUTER HARDWARE:

Windows Computer (Desktop or laptop) no MAC Computer.
At least Core Intel i5 or equivalent.
Must have 8GB RAM.
Must have at least 30GB of free disk space available.
Dual Screen Display Monitor
One available USB port for the headset.
One Noise canceling headset like Plantronics or Jabra.

COMPUTER SOFTWARE:

Operating system must be Windows 10 Pro Only.
Must have the latest Windows updates.
Must have an antivirus installed and updated.
There MUST be no Possible Unwanted Applications (PUA, Malware, or adware).

INTERNET SERVICE:

Should have cable or fiber internet service.
Minimum upload speed (25mbps).
Minimum Download Speed (25mbps).

NETWORK:

Computer must be connected via LAN at least 100MBPS.
Good reception for WIFI.

Sales Appointment Setter

(Offshoring Staffing Services)
Agility Staffing Solutions is a remote staffing company operating in the Philippines for over 13 years serving clients in the US, Australia and New Zealand. We’re seeking to expand our team with a highly motivated and organized Sales Appointment Setter.
Role Overview:
The primary function of the Sales Appointment Setter will be to support our sales team by making direct outreach to prospective clients who are reaching out as a result of the work of our marketing team and booking sales appointments into their calendars. You will play a crucial role in generating new business opportunities and setting the foundation for our sales process. You will work to US business days and hours to be set that overlap EST to PST.
Key Responsibilities:
- Proactively reaching out to potential clients primarily by phone and by email and social media platforms
- Scheduling appointments for the sales team to meet with prospective clients.
- Ensuring that all appointments are accurately entered and updated in the relevant calendar.
- Working closely with our sales team to understand the client needs and preferences.
- Meeting and exceeding personal and team targets.
- Accurately logging all communications and activities in our CRM system.
Requires Skills % Experience:
- Previous experience in a similar role
- Excellent English with exceptional communication skills, both verbal and written.
- Strong organization skills with the ability to multitask and prioritize tasks.
- Comfortable using CRM software and other digital tools.
- Ability to work independently and as part of a team.
What We Offer:
- Competitive salary
- A fully remote position
- An opportunity to work with a highly energetic and supportive team
How to Apply:
Interested? Email your resume and salary requirements to Angela Sison: rey-angela.sison@agilitystaffingservices.com with the subject line “Sales Appointment Setter – Your Name”. Include a brief message about why you’re the perfect fit for our team. We look forward to hearing from you!