AdaptHealth
Operations Specialist - Customer Service
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region’s individual needs.
Job Type Full-time
Salary $19–$24 per hour, DOE
Essential Functions and Job Responsibilities
Supports operations team with discovery and training as necessary with AdaptHealth processes.
Provides support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.
Develops and maintains working knowledge of current products and services offered by the company.
Familiar with payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.
Has working knowledge of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end.
Reviews all required documentation to ensure accuracy.
Accurately processes, verifies, and submits documentation.
Completes insurance verification to determine patient’s eligibility, coverage, co‑insurances, and deductibles.
Obtains pre‑authorization if required by an insurance carrier and processes physician orders for approval and authorization when required.
Navigates multiple online EMR systems to obtain applicable documentation.
Enters and reviews all pertinent information in EMR system including authorizations and expiration dates.
Meets quality assurance requirements and key performance metrics.
Pays attention to detail and has great organizational skills.
Actively listens to teams, region leaders and handles stressful situations with compassion and empathy.
Analyzes data and reports to identify workflow errors, troubleshoots and fixes exceptions, and advises staff on corrections.
Collaborates with the Operations Team on exceptions and solutions within workflow processes.
Communicates with operations teams and leadership on an ongoing basis regarding trends in process errors with insurance companies.
Assists with various projects and tasks as needed for unique processes.
Participates in defining, documenting, and refining processes, procedures and workflows for business operations based on industry and company best‑practices.
Creates training materials and trains client engagement and service teams.
Maintains patient confidentiality and complies with HIPAA guidelines.
Completes assigned compliance training and other educational programs as required.
Maintains compliance with AdaptHealth’s Compliance Program.
Performs other related duties as assigned.
Competencies, Skills & Abilities
Excellent verbal and written communication skills.
Ability to prioritize and manage multiple tasks.
Proficient computer skills and knowledge of Microsoft Office.
Ability to learn new technologies and understand data flow through systems.
General knowledge of Medicare, Medicaid, and commercial health plan methodologies and documentation requirements preferred.
Works well independently and as part of a group.
Adaptable and flexible in a rapidly changing environment; patient, accountable, proactive, takes initiative, and works effectively on a team.
Requirements Education and Experience Requirements:
High School Diploma or equivalency.
Three (3) years’ work experience in health‑care administration, financial or insurance customer services, claims, billing, call center or management, regardless of industry.
Physical Demands & Work Environment
Work environment can be stressful at times; activity and workload fluctuate.
Must be able to bend, stoop, stretch, stand, and sit for extended periods.
Subject to long periods of sitting and computer screen exposure.
Ability to perform repetitive wrist, hand, or finger motions due to extensive computer use.
Excellent communication skills (verbal and written); demonstrates empathy, compassion, courtesy, and respect for privacy.
Mental alertness to perform essential functions.
Seniority Level Mid–Senior level
Employment Type Full-time
Job Function Management
Industry: Hospitals and Health Care
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Job Type Full-time
Salary $19–$24 per hour, DOE
Essential Functions and Job Responsibilities
Supports operations team with discovery and training as necessary with AdaptHealth processes.
Provides support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.
Develops and maintains working knowledge of current products and services offered by the company.
Familiar with payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.
Has working knowledge of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end.
Reviews all required documentation to ensure accuracy.
Accurately processes, verifies, and submits documentation.
Completes insurance verification to determine patient’s eligibility, coverage, co‑insurances, and deductibles.
Obtains pre‑authorization if required by an insurance carrier and processes physician orders for approval and authorization when required.
Navigates multiple online EMR systems to obtain applicable documentation.
Enters and reviews all pertinent information in EMR system including authorizations and expiration dates.
Meets quality assurance requirements and key performance metrics.
Pays attention to detail and has great organizational skills.
Actively listens to teams, region leaders and handles stressful situations with compassion and empathy.
Analyzes data and reports to identify workflow errors, troubleshoots and fixes exceptions, and advises staff on corrections.
Collaborates with the Operations Team on exceptions and solutions within workflow processes.
Communicates with operations teams and leadership on an ongoing basis regarding trends in process errors with insurance companies.
Assists with various projects and tasks as needed for unique processes.
Participates in defining, documenting, and refining processes, procedures and workflows for business operations based on industry and company best‑practices.
Creates training materials and trains client engagement and service teams.
Maintains patient confidentiality and complies with HIPAA guidelines.
Completes assigned compliance training and other educational programs as required.
Maintains compliance with AdaptHealth’s Compliance Program.
Performs other related duties as assigned.
Competencies, Skills & Abilities
Excellent verbal and written communication skills.
Ability to prioritize and manage multiple tasks.
Proficient computer skills and knowledge of Microsoft Office.
Ability to learn new technologies and understand data flow through systems.
General knowledge of Medicare, Medicaid, and commercial health plan methodologies and documentation requirements preferred.
Works well independently and as part of a group.
Adaptable and flexible in a rapidly changing environment; patient, accountable, proactive, takes initiative, and works effectively on a team.
Requirements Education and Experience Requirements:
High School Diploma or equivalency.
Three (3) years’ work experience in health‑care administration, financial or insurance customer services, claims, billing, call center or management, regardless of industry.
Physical Demands & Work Environment
Work environment can be stressful at times; activity and workload fluctuate.
Must be able to bend, stoop, stretch, stand, and sit for extended periods.
Subject to long periods of sitting and computer screen exposure.
Ability to perform repetitive wrist, hand, or finger motions due to extensive computer use.
Excellent communication skills (verbal and written); demonstrates empathy, compassion, courtesy, and respect for privacy.
Mental alertness to perform essential functions.
Seniority Level Mid–Senior level
Employment Type Full-time
Job Function Management
Industry: Hospitals and Health Care
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