AdaptHealth Opportunity – Apply Today!
About AdaptHealth
At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond the hospital and at home.
With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care.
If you’re passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.
The Adapt Difference
- Commitment to Our People – Support, Development, and Advancement Opportunities
- Competitive Compensation and Incentives
- Comprehensive Total Rewards & Benefits
- Industry-Leading Care & Innovation
- Responsible Environmental Stewardship
Position Summary:
The Lead Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region’s individual needs. They serve as a subject matter expert, conduct new hire training and mentor to the team. As needed, may need to deliver and set up medical equipment.
Essential Functions and Job Responsibilities:
- Supervise and guide team members in daily operations and complex case resolution; serve as the primary escalation point for difficult issues and regulatory compliance questions.
- Lead team meetings, conduct onboarding, and facilitate ongoing training and staff development for operations and client engagement teams.
- Monitor team performance metrics and productivity standards, providing feedback and coaching as needed.
- Develop and implement process improvements and workflow optimization strategies; participate in defining, documenting, and refining procedures based on industry and company best practices.
- Coordinate with management on staffing needs, scheduling, and resource allocation.
- Maintain advanced expertise in Medicare guidelines, payer policies, clinical documentation, and regulatory changes to guide team decisions and determine qualification/compliance status for equipment and services.
- Analyze data and reports to identify workflow errors, troubleshoot exceptions, and advise staff on corrections; collaborate with the Operations Team on solutions.
- Communicate with operations teams and leadership on process trends, insurance issues, and improvement opportunities; prepare performance and operational trend reports for management review.
- Maintain working knowledge of AdaptHealth's products, services, and end-to-end customer service, intake, operations, and revenue cycle workflows.
- Review, process, and verify documentation for accuracy, including insurance verification (eligibility, coverage, co-insurance, deductibles) and pre-authorization submissions to insurance carriers.
- Navigate multiple online EMR systems to obtain, enter, and review documentation, authorizations, and expiration dates.
- Meet quality assurance requirements and key performance metrics with strong attention to detail and organization.
- Actively listen to teams and leadership, handling stressful situations with compassion and empathy.
- As needed: perform patient assessments/re-assessments, deliver medical equipment, and safely drive/maintain a company vehicle.
- Retain knowledge of and adhere to PPE, infection control, and hazardous materials handling procedures.
- Assume on-call responsibilities during non-business hours per company policy.
- Maintain patient confidentiality and compliance with HIPAA and AdaptHealth's Compliance Program.
- Complete assigned compliance training and other required education.
- Assist with various projects and tasks as needed.
- Perform other related duties as assigned
Competency, Skills and Abilities:
- Excellent ability to communicate both verbally and in writing
- Ability to prioritize and manage multiple tasks
- Proficient computer skills and knowledge of Microsoft Office
- Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
- General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.
- Work well independently and as part of a group
- Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team
