Healthcare Operations Lead & Compliance Mentor

AdaptHealth, LLC; Phoenix (AZ); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401(k) with company match

Paid Time Off (PTO)

Employee Stock Purchase Plan

Life and AD&D Insurance

Job summary

AdaptHealth, LLC seeks a Lead Operations Specialist to support the Operations Team across regions. You will mentor staff, provide training, and ensure accurate processing of insurance verifications and pre-authorizations, with occasional device delivery.

Responsibilities include supervising daily operations, analyzing workflow, and driving improvements while maintaining HIPAA compliance and patient confidentiality.

Qualifications

• High school diploma or equivalent required; Associate’s degree in healthcare administration or related field preferred.
• Valid and unrestricted driver’s license in the state of residence.
• Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management.
• Experience in health care organization, pharmacy billing to insurance, or Medicare/Medicaid services is a plus.

Responsibilities

• Supervise and guide team members in daily operations and complex case resolution; primary escalation point for issues and regulatory questions.
• Lead team meetings, onboarding, and ongoing training for operations and client engagement teams.
• Monitor performance metrics and provide coaching to reach targets.
• Develop and implement process improvements and workflow optimization.
• Coordinate staffing, scheduling, and resource allocation.
• Maintain expertise in Medicare guidelines, payer policies, and regulatory changes to guide decisions.
• Analyze data to identify errors, troubleshoot, and propose corrective actions.
• Prepare performance and operational trend reports for management review.
• Maintain knowledge of AdaptHealth products, services, and end-to-end workflows.

Skills

Communication

Multi-tasking

MS Office

EMR systems

Medicare/Medicaid knowledge

Independent & team work

Adaptability

Education

High school diploma or equivalent

Associate’s degree preferred

Tools

EMR software

Job description

AdaptHealth, LLC seeks a Lead Operations Specialist to support the Operations Team across regions. You will mentor staff, provide training, and ensure accurate processing of insurance verifications and pre-authorizations, with occasional device delivery.

Responsibilities include supervising daily operations, analyzing workflow, and driving improvements while maintaining HIPAA compliance and patient confidentiality.