Lead, RCM Specialist

AdaptHealth, LLC; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Employee Stock Purchase Plan

Disability Insurance

Life Insurance

FSA/HSA

Telemedicine access

ID theft protection

Job summary

AdaptHealth, LLC seeks a Lead Revenue Cycle Management Specialist to lead and mentor domestic and offshore RCM teams, focusing on payer AR, denials, and process improvements. You will drive billing accuracy while maintaining HIPAA compliance and delivering insights to leadership.

The role requires 3+ years in administration/financial roles with exposure to insurance billing, and a track record of developing SOPs and training materials. A strong analytical mindset is essential.

Qualifications

• Three years of related work experience in administration, financial, insurance, customer services, claims, billing, call-center, or management.
• Two years of work experience in HME, diabetic, home medical supplies, pharmacy or an HH environment is preferred but not required.
• Experience leading or mentoring teams.
• Experience working with payer policies, AR processes, insurance billing is preferred but not required.
• Ability to lead and operate in a fast-paced environment.
• Ability to navigate multiple systems and understand data flow across platforms.
• Strong analytical and problem-solving skills with attention to detail.

Responsibilities

• Provide day-to-day oversight, coaching, and mentorship to domestic and offshore RCM team members.
• Serve as the subject matter expert for payer AR, handling complex escalations and insurance disputes.
• Monitor team performance, identify skill gaps, and support training and development initiatives.
• Analyze payer trends, denial patterns, and workflow gaps; implement process improvements to optimize outcomes.
• Collaborate with leadership and cross-functional teams to improve billing accuracy and reduce rework.
• Develop and maintain SOPs, job aids, and training materials to standardize processes.
• Conduct deep-dive analyses and provide reporting insights to support business decisions.
• Support onboarding and ongoing education of team members on systems, workflows, and payer guidelines.
• Resolve escalated billing inquiries from patients and insurance providers with a focus on accuracy and service excellence.
• Partner cross-functionally to address account issues, reduce denials, and improve the overall patient financial experience.
• Ensure compliance with HIPAA and all regulatory standards in handling patient information.
• Performs other duties as assigned.

Skills

Team leadership

Analytical skills

Problem solving

Attention to detail

Payer AR knowledge

Communication

Education

Associate degree preferred

High School Diploma required

Job description

At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond the hospital and at home.

With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care.

If you’re passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.

The Adapt Difference

• Commitment to Our People – Support, Development, and Advancement Opportunities
• Competitive Compensation and Incentives
• Industry-Leading Care & Innovation

About the Role

Lead Revenue Cycle Management Specialist (RCM)

The Lead RCM Specialist serves as a subject matter expert in insurance accounts receivable while providing leadership and guidance domestically and globally. This role is the best fit for someone who enjoys dissecting trends, problem-solving, mentoring teams and driving operational improvements.

Core Responsibilities

• Provide day-to-day oversight, coaching, and mentorship to domestic and offshore RCM team members
• Serve as the subject matter expert for payer AR, handling complex escalations and insurance disputes
• Monitor team performance, identify skill gaps, and support training and development initiatives
• Analyze payer trends, denial patterns, and workflow gaps; implement process improvements to optimize outcomes
• Collaborate with leadership and cross-functional teams to improve billing accuracy and reduce rework
• Develop and maintain SOPs, job aids, and training materials to standardize processes
• Conduct deep-dive analyses and provide reporting insights to support business decisions
• Support onboarding and ongoing education of team members on systems, workflows, and payer guidelines
• Resolve escalated billing inquiries from patients and insurance providers with a focus on accuracy and service excellence
• Partner cross-functionally to address account issues, reduce denials, and improve the overall patient financial experience
• Ensure compliance with HIPAA and all regulatory standards in handling patient information
• Performs other duties as assigned

Why You’re the Best Fit

• Associate’s degree preferred, High School Diploma required
• Three (3) years of related work experience in administration, financial, insurance, customer services, claims, billing, call-center, or management required
• Two (2) years of work experience in HME, diabetic, home medical supplies, pharmacy or an HH environment is preferred but not required
• Experience leading or mentoring teams
• Experience working with payer policies, AR processes, insurance billing is preferred but not required
• Ability to lead and operate in a fast-paced environment
• Ability to navigate multiple systems and understand data flow across platforms
• Strong analytical and problem-solving skills with attention to detail
• Physical Requirements: Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential function of the job. Reasonable accommodations may be made to enable individuals with disability(s) to perform the essential functions. For more detail surrounding these requirements please inquire upon application selection.

Compensation

• Compensation is based on experience, location and role level

Total Rewards & Benefits Program

• Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
• 401(k) with company match
• Employee Stock Purchase Plan
• Short and Long-term Disability Insurance
• Life and AD&D Insurance
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• CVS Minute Clinic and Teledoc access
• Identity Theft Protection and Legal Plan

*Applicable waiting periods apply

Requirements Disclosure

• Company conducted Background Check is required for all roles
• Company conducted Motor Vehicle Record Check is required for driving roles
• Clinical roles require valid licensure/certification, where applicable

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com

In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx.

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.