Healthcare Operations Specialist: Process & Compliance

AdaptHealth; Columbia (SC); On-site; USD 40,000 - 52,000; 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

Parental bonding leave

Disability insurance

Life and AD&D Insurance

FSA/HSA

Teledoc access

Job summary

AdaptHealth is seeking an Operations Specialist to support regional operations, streamline workflows, and ensure accurate insurance verifications and authorizations. You will work with EMR systems to track patient data, analyze processes, and drive improvements across teams.

Ideal candidates possess at least one year of related experience, strong communication skills, and the ability to multi-task in a fast-paced healthcare environment.

Qualifications

• 1 year of relatable work experience is required.
• High School Diploma or higher is required; Associate degree or related field is preferred.
• Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service is a plus but not required.
• Healthcare environment experience is a plus but not required.

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

Communication

Attention to detail

Multi-tasking

Tech-savvy

Independent worker

Education

High School Diploma

Associate degree

Healthcare Administration education

Business Administration education

Tools

Microsoft Office

Healthcare systems

Job description

AdaptHealth is seeking an Operations Specialist to support regional operations, streamline workflows, and ensure accurate insurance verifications and authorizations. You will work with EMR systems to track patient data, analyze processes, and drive improvements across teams.

Ideal candidates possess at least one year of related experience, strong communication skills, and the ability to multi-task in a fast-paced healthcare environment.