Lead RCM Strategist & Payer Operations

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

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.