AdaptHealth · 1 day ago
Operations Specialist - Customer Service
Longmont, CO
Full-time
Onsite
Mid Level
$19/hr - $24/hr
3+ years expAdaptHealth is a company focused on providing healthcare solutions, and they are seeking an Operations Specialist to support the Operations Team. The role involves assisting with process improvements, maintaining knowledge of products and services, and ensuring compliance with insurance requirements.
Health CareHospitalMedical Device
Responsibilities
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, which may include
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
Qualification
Required
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
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, which may include
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
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
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
Preferred
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Company
AdaptHealth
AdaptHealth is a provider of home healthcare equipment, medical supplies to the home and related services in the United States.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$1.95BKey Investors
One Equity PartnersThe Firmament GroupDeerfield
2024-09-16Post Ipo Debt· $950M
2021-04-26Post Ipo Debt· $300M
2020-07-02Post Ipo Equity· $2.25M
Leadership Team
Suzanne Foster
Chief Executive Officer
Albert Prast
Chief Technology Officer
Recent News
Company data provided by crunchbase