Healthcare Operations Specialist — Drive Care & Efficiency

AdaptHealth, LLC

Cayce (SC)

Hybrid

USD 42,000 - 65,000

Full time

14 days+

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Job summary

AdaptHealth is seeking an Operations Specialist to support patient care and drive operational excellence across our network. This role focuses on process improvements, workflow optimization, and compliant documentation to sustain high-quality care.

You will review documentation, verify insurance details, and use EMR systems to track patient and authorization data while collaborating with teams to meet quality and performance goals in a fast-paced healthcare environment.

Qualifications

  • One year of relatable work experience required.
  • High School Diploma, Associate’s degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required.
  • Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required.
  • Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is a plus but not required.
  • Excellent verbal and written communication skills including analytical, problem-solving and decision-making abilities with attention to detail.
  • Ability to multi-task in a fast paced environment.
  • Proficient computer skills – Microsoft Office and healthcare systems are a plus.
  • Comfort learning new technologies and navigating multiple systems.
  • Ability to work independently while following established procedures and directives.

Responsibilities

  • Support regional operations through workflow improvement, training, and process optimization.
  • Review and process documentation, including insurance verification, authorizations, and order accuracy.
  • Navigate EMR systems to enter, track, and validate patient and authorization data.
  • Analyze workflows, identify errors, and implement solutions to improve efficiency and quality.
  • Collaborate with teams and leadership to resolve issues and communicate trends.
  • Maintain knowledge of payer guidelines, products, and services to ensure compliance.
  • Assist with training materials, onboarding, and cross-functional support.
  • Participate in projects to refine processes and enhance operational performance.
  • Meet quality and performance metrics while managing multiple priorities.
  • Perform patient assessments and follow-ups to support care and compliance.
  • Ensure accurate documentation and adherence to HIPAA, PPE, and infection control standards.
  • Perform other duties as assigned.

Skills

Verbal communication
Written communication
Multi-tasking
Attention to detail
Adaptability

Education

High School Diploma
Associates degree in Healthcare Administration or related

Tools

Microsoft Office

Job description

AdaptHealth is seeking an Operations Specialist to support patient care and drive operational excellence across our network. This role focuses on process improvements, workflow optimization, and compliant documentation to sustain high-quality care.

You will review documentation, verify insurance details, and use EMR systems to track patient and authorization data while collaborating with teams to meet quality and performance goals in a fast-paced healthcare environment.

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