Operations Specialist

Operations Specialist – Adapt Health

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The Operations Specialist supports the Operations Team through multiple tasks required for the successful support of each region’s individual needs.

• Supports operations team with discovery and training as necessary with Adapt Health 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 Adapt Health 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