Rina Bryant

• Overall responsibility of PAP teams to ensure strategic goals and metrics are achieved.

• Oversees the day-to-day activities of the team.

• Improves processes within department with emphasis on quality and efficiency, while Identifies root cause of

issues and works with others to improve overall processes.

• Reports audit metrics for employees to monitor accuracy and productivity rates

• Follows through with the appropriate actions to resolve any questions and concerns.

• 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 relationships with other branches, providers, and facilities to make sure all patient needs are met.

• Manages department budget and expenses.

• Prepares reports daily for various departments and leadership.

• Developing training materials, competencies and/or maintains Standard Operating Procedures (SOP’s) that

support the work of the team.

• Provides feedback and recommendations on improving systems and processes.

• Identifies trends of issues by region for timely education back to other teams.

• Consistently responds to all patients needs in a timely manner.

• Acts as a resource on practices and processes to provide appropriate guidance

• Maintains patient confidentiality and functions within the guidelines of HIPAA.

• Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing

comprehensive training and regular feedback.

• Create and generate electronic forms requesting patient documents from physicians. Specialized in GoScripts and all EMR systems including EPIC.
• Collect and manage patient eligibility documents such as prescriptions, certificates of medical necessity, letters of medical necessity and prior authorizations.
• Contact doctor offices as necessary to collect prescriptions, certificates of medical necessity, letters of medical necessity, clinical notes, and lab results.
• Contact insurance companies to collect approved prior-authorization requests.
• Escalate recurring problem accounts or physician groups or other trends to the management appropriately and in a timely manner.
• Understand and follow all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements.
• Analyze documentation required for billing services and ensure compliance to payer requirements.
• Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentation.
• Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.
• Requests authorization from state Medicaid programs.
• Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.

• Administrator of compliance monitoring systems, including AirView (ResMed) and Care Orchestrator (Philips).
• Trained by Respiratory Therapist and Sleep Specialist.
• 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.
• Assisted in the development and maintenance of reference materials for use by staff and facilitates the sharing of information
• 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, sales and support staff to ensure timely receipt of documentation as well as educating, as necessary.
• Lead the replacement PAP machine qualifications and Medicare audits.