Operations Specialist

Position Summary

The Operations Specialist is responsible for supporting 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 assist with driving workflow, including verification and data analysis.
• Develops and maintains working knowledge of current products and services offered by the company.
• Familiar with payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.
• Works with Adapt Health customer service, intake, daily operations, and revenue cycle processes from beginning to end, which may include reviewing all required documentation to ensure accuracy, accurately processing, verifying, and/or submitting documentation, completing insurance verification to determine patient eligibility, coverage, co‑insurances, and deductibles, obtaining pre‑authorization if required by an insurance carrier, navigating multiple online EMR systems to obtain applicable documentation, entering and reviewing all pertinent information in EMR systems 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 and 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 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.
• Participates in creating training materials and training client engagement and service teams.
• Maintains patient confidentiality and operates within HIPAA guidelines.
• Completes assigned compliance training and other educational programs as required.
• Maintains compliance with Adapt Health’s Compliance Program.
• Performs other related duties as assigned.

• Excellent verbal and written communication skills.
• Ability to prioritize and manage multiple tasks.
• Proficient computer skills and knowledge of Microsoft Office.
• Strong ability to learn new technologies and understand data flow through systems.
• General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.
• Works well independently and as part of a group.
• Adapts and remains flexible in a rapidly changing environment; is patient, accountable, proactive, takes initiative, and works effectively on a team.

• High School Diploma or equivalency.
• Three (3) years’ work experience in health care administrative, financial, or insurance customer services, claims, billing, call center, or management in any industry.

• Work environment will be stressful at times, with fluctuating office activities and work levels.
• Must be able to bend, stoop, stretch, stand, and sit for extended periods of time.
• Subject to long periods of sitting and exposure to computer screen.
• Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use.
• Excellent verbal and written communication skills.
• Ability to effectively communicate with internal and external customers with empathy, compassion, courtesy, and respect for privacy.
• Mental alertness to perform the essential functions of the position.

Mid‑Senior level

Full‑time

Management and Manufacturing

Hospitals and Health Care

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