Lead, RCM Specialist

AdaptHealth, LLC; Wichita Falls (TX); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical coverage

401k plan

Paid time off

Stock purchase plan

Parental leave

Disability insurance

Job summary

AdaptHealth, LLC is seeking a Lead Revenue Cycle Management Specialist to oversee insurance accounts receivable and mentor domestic and offshore teams. The role focuses on resolving escalations, reducing denials, and driving operational improvements across the RCM function.

The ideal candidate has strong leadership, payer policy knowledge, and analytical skills to optimize billing accuracy while ensuring HIPAA compliance. Competitive compensation and comprehensive benefits are provided.

Qualifications

• Associate degree or higher preferred; HS diploma required.

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.

Skills

Team leadership

Mentoring

Payer AR

Billing analysis

Data analysis

Education

Assoc degree

HS diploma

Job description

About AdaptHealth

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.

Description

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
• Comprehensive Total Rewards & Benefits
• Industry-Leading Care & Innovation
• Responsible Environmental Stewardship

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

Work Environment

• 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
• Paid Time Off Plans including 6 paid holidays
• Employee Stock Purchase Plan
• Paid Parental Bonding Leave
• 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
• Spousal Advantage Reimbursement Plan
• 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.