Healthcare Ops Specialist: Process & Care Optimization

AdaptHealth, LLC

Camden (SC)

On-site

USD 42,000 - 63,000

Full time

6 days ago
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Benefits offered by this job

Medical, Dental & Vision coverage
401(k) with company match
Paid Time Off including holidays
Employee Stock Purchase Plan
Parental Leave

Job summary

AdaptHealth is seeking an Operations Specialist to support patient care and drive process improvements across regional operations. You will engage in workflow optimization, insurance verification, authorizations, and precise data entry in EMR systems to sustain high-quality care and compliant processes.

The role emphasizes cross-functional collaboration, training support, and contributing to projects that enhance efficiency while maintaining HIPAA and infection control standards.

Qualifications

  • One (1) 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 & written communication
Attention to detail
Multi-tasking
Independent work
Adaptability
Problem-solving

Education

High School Diploma
Associate’s degree or related field
Healthcare Administration / Business Administration background
Equivalent work experience

Tools

EMR systems
Microsoft Office

Job description

AdaptHealth is seeking an Operations Specialist to support patient care and drive process improvements across regional operations. You will engage in workflow optimization, insurance verification, authorizations, and precise data entry in EMR systems to sustain high-quality care and compliant processes.

The role emphasizes cross-functional collaboration, training support, and contributing to projects that enhance efficiency while maintaining HIPAA and infection control standards.

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