AdaptHealth · 2 days ago
Intake Specialist-Quality Assurance-Remote Position-PST Time Zone
United States
Full-time
Remote
Entry, Mid, Senior Level, Lead/Staff
1+ years expAdaptHealth is a company that provides home medical equipment products and services to empower patients. The Intake Specialist role involves accurate data entry, communication with referral sources, and ensuring compliance in patient orders to enhance service delivery.
Health CareHospitalMedical Device
Responsibilities
Accurately enters referrals within allotted timeframe as established; meeting productivity and quality standards as established
Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion
Works with leadership to ensure appropriate inventory/services are provided
Communicates with patients regarding their financial responsibility, collects payment and documents in patient record accordingly
For non-Medicaid patients communicate with patients
Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered
Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service
Answers phone calls in a timely manner and assists caller
Reviews medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered
Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services
Works with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process
Contacts patients when documentation received does not meet payer guidelines, provide updates, and offer additional options to facilitate the referral process
Works with sales team to obtain necessary documentation to facilitate referral process, as well as support referral source relationships
Must be able to navigate through multiple online EMR systems to obtain applicable documentation
Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments
Assume on-call responsibilities during non-business hours in accordance with company policy
Supervise and provide guidance to team members in daily operations and complex case resolution
Lead team meetings and facilitate training sessions for staff development
Monitor team performance metrics and productivity standards, providing feedback and coaching as needed
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions
Develop and implement process improvements and workflow optimization strategies
Coordinate with management on staffing needs, scheduling, and resource allocation
Conduct new employee onboarding and ongoing training programs
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions
Prepare reports and analysis on team performance, trends, and operational metrics for management review
Maintains patient confidentiality and functions within the guidelines of HIPAA
Completes assigned compliance training and other education programs as required
Maintains compliance with AdaptHealth's Compliance Program
Performs other related duties as assigned
Qualification
Required
High school diploma or equivalent required
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services
One (1) year of work-related experience for Specialist Level (Entry Level)
One (1) year of work-related experience plus Two (2) years exact job experience for Senior Level
One (1) year of work-related experience plus Four (4) years exact job experience for Lead Level
Ability to appropriately interact with patients, referral sources and staff
Decision Making
Analytical and problem-solving skills with attention to detail
Strong verbal and written communication
Excellent customer service and telephone service skills
Proficient computer skills and knowledge of Microsoft Office
Ability to prioritize and manage multiple tasks
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to work independently as well as follow detailed directives
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
Maintains patient confidentiality and functions within the guidelines of HIPAA
Completes assigned compliance training and other education programs as required
Maintains compliance with AdaptHealth's Compliance Program
Preferred
Associate's degree in healthcare administration, Business Administration, or related field
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
2026-02-05
2026-02-04
Company data provided by crunchbase