AdaptHealth
Operations Specialist – AdaptHealth
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Operations Specialist
role at
AdaptHealth
Position Summary The Operations Specialist supports the Operations Team through multiple tasks required for the successful support of each region’s individual needs.
Essential Functions And Job Responsibilities
Supports operations team with discovery and training as necessary with AdaptHealth processes.
Provides support during process improvement initiatives to drive all areas of workflow, including verification and data analysis.
Develops and maintains knowledge of current products and services offered by the company.
Familiar with payer guidelines and clinical documentation to determine qualification status and compliance for all equipment and services.
Manages all stages of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end.
Reviews required documentation to ensure accuracy.
Accurately processes, verifies, and/or submits documentation.
Completes insurance verification to determine patient’s eligibility, coverage, co‑insurances, and deductibles.
Obtain pre‑authorization if required by an insurance carrier and process 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 other 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 execution errors in workflow, 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 any noticed 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 functions within the guidelines
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Operations Specialist
role at
AdaptHealth
Position Summary The Operations Specialist supports the Operations Team through multiple tasks required for the successful support of each region’s individual needs.
Essential Functions And Job Responsibilities
Supports operations team with discovery and training as necessary with AdaptHealth processes.
Provides support during process improvement initiatives to drive all areas of workflow, including verification and data analysis.
Develops and maintains knowledge of current products and services offered by the company.
Familiar with payer guidelines and clinical documentation to determine qualification status and compliance for all equipment and services.
Manages all stages of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end.
Reviews required documentation to ensure accuracy.
Accurately processes, verifies, and/or submits documentation.
Completes insurance verification to determine patient’s eligibility, coverage, co‑insurances, and deductibles.
Obtain pre‑authorization if required by an insurance carrier and process 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 other 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 execution errors in workflow, 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 any noticed 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 functions within the guidelines
#J-18808-Ljbffr