AdaptHealth

Empowering patients to live their best lives

Operations Specialist

OperationsOperationsFull TimeRemoteTeam 10,001+Since 2019H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

45 days ago

Salary

Not specified

High School3 yrs expEnglish

Job Description

• Supports operations team with discovery and training as necessary with AdaptHealth processes. • Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis. • Develop and maintain working knowledge of current products and services offered by the company. • Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services. • Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end. • Review all required documentation to ensure accuracy. • Accurately process, verify, and/or submit documentation. • Complete 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 to insurance carriers for approval and authorization when required (if helping a region). • Navigate through multiple online EMR systems to obtain applicable documentation. • Enter and review all pertinent information in EMR system including authorizations and expiration dates. • Meet quality assurance requirements and other key performance metrics. • Pays attention to detail and has great organizational skills. • Actively listens to teams, region leaders and handle stressful situations with compassion and empathy. • Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections. • Collaborate with the Operations Team on exceptions and solutions within workflow processes. • Communicate with operations teams and leadership on an on-going basis regarding any noticed trends in process errors with insurance companies. • Assist with various projects and tasks as needed for various unique processes. • Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices. • Participate in the effort to create training materials and train client engagement and service teams. • Maintain patient confidentiality and function within the guidelines of HIPAA. • Completes assigned compliance training and other educational programs as required. • Maintains compliant with AdaptHealth’s Compliance Program. • Perform other related duties as assigned.

Job Requirements

  • High School Diploma or equivalency
  • Three (3) years’ work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry is required.
  • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.

Benefits

  • None specified

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