Operations Specialist
Company: AdaptHealth
Location: Concord
Posted on: April 1, 2026
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Job Description:
Full-time Description Position Summary: The Operations
Specialist is responsible for supporting the Operations Team
through multiple tasks required for the successful support of each
region’s individual needs. Essential Functions and Job
Responsibilities: Supports operations team with discovery and
training as necessary with AdaptHealth processes. Responsible for
providing support during process improvement initiatives to assist
with driving all areas of workflow, including verification, and
data analysis. Develop and maintain working knowledge of current
products and services offered by the company Must be familiar with
payer guidelines and reading clinical documentation to determine
qualification status and compliance for all equipment and services.
Working knowledge in all areas of AdaptHealth customer service,
intake, daily operations and revenue cycle processes and workflows
from beginning to end, which may include Review all required
documentation to ensure accuracy Accurately process, verify, and/or
submit documentation Complete insurance verification to determine
patient’s eligibility, coverage, co-insurances, and deductibles
Obtain pre-authorization if required by an insurance carrier and
process physician orders to insurance carriers for approval and
authorization when required (if helping a region) Navigate through
multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in EMR system including
authorizations and expiration dates Meet quality assurance
requirements and other key performance metrics Pays attention to
detail and has great organizational skills Actively listens to
teams, region leaders and handle stressful situations with
compassion and empathy. Ability to analyze data and reports to
identify execution errors in workflow, troubleshoot and fix the
exceptions, advise staff on corrections. Collaborate with the
Operations Team on exceptions and solutions within workflow
processes Communicate with operations teams and leadership on an
on-going basis regarding any noticed trends in process errors with
insurance companies Assist with various projects and tasks as
needed for various unique processes Participate in the effort to
define, document, and refine processes, procedures and workflows
for business operations based on industry and company
best-practices. Participate in the effort to create training
materials and train client engagement and service teams Maintain
patient confidentiality and function within the guidelines of
HIPAA. Completes assigned compliance training and other educational
programs as required. Maintains compliant with AdaptHealth’s
Compliance Program. Perform other related duties as assigned.
Competency, Skills and Abilities: Excellent ability to communicate
both verbally and in writing Ability to prioritize and manage
multiple tasks Proficient computer skills and knowledge of
Microsoft Office Solid ability to learn new technologies and
possess the technical aptitude required to understand flow of data
through systems as well as system interaction General knowledge of
Medicare, Medicaid, and Commercial health plan methodologies and
documentation requirements preferred. Work well independently and
as part of a group Ability to adapt and be flexible in a rapidly
changing environment, be patient, accountable, proactive, take
initiative and work effectively on a team Requirements Education
and Experience Requirements: High School Diploma or equivalency
Three (3) years’ work related in health care administrative,
financial, or insurance customer services, claims, billing, call
center or management regardless of industry is required. Physical
Demands and Work Environment: Work environment will be stressful at
times, as overall office activities and work levels fluctuate Must
be able to bend, stoop, stretch, stand, and sit for extended
periods of time Subject to long periods of sitting and exposure to
computer screen Ability to perform repetitive motions of wrists,
hands, and/or fingers due to extensive computer use Excellent
ability to communicate both verbally and in writing Ability to
effectively communicate both verbally and written with internal and
external customers with the ability to demonstrate empathy,
compassion, courtesy, and respect for privacy. Mental alertness to
perform the essential functions of position.
Keywords: AdaptHealth, Livermore , Operations Specialist, Customer Service & Call Center , Concord, California
