Talent.com
Operations Specialist
Operations SpecialistAdaptHealth • Salinas, CA, United States
No longer accepting applications
Operations Specialist

Operations Specialist

AdaptHealth • Salinas, CA, United States
27 days ago
Job type
  • Full-time
Job description

Operations Specialist

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:
  1. Review all required documentation to ensure accuracy
  2. Accurately process, verify, and/or submit documentation
  3. Complete insurance verification to determine patient's eligibility, coverage, co-insurances, and deductibles
  4. 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)
  5. Navigate through multiple online EMR systems to obtain applicable documentation
  6. Enter and review all pertinent information in EMR system including authorizations and expiration dates
  7. 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.
Create a job alert for this search

Operations Specialist • Salinas, CA, United States

Similar jobs

R&D Operations Specialist

A. Duda & Sons Inc.Salinas, CA, US
Full-time
Quick Apply

The R&D Operations Specialist is a key operational role within the Research & Development team, supporting the successful execution of celery breeding, celery seed production and production researc...Show more

Premier Central Coast Opportunity With Strong Sign-On + Relocation Package

HealthEcareers - ClientSalinas, CA, USA
Full-time

Find a Career Where You Can Thrive—Not Just Another Job.At Schweiger Dermatology Group, we offer an opportunity to grow and excel in a supportive and dynamic environment.New York, New Jersey, Penns...Show more

 • Promoted

Virtual Assistant: $11 - $22/HR

Data Entry JobsBig Sur, CA
Full-time +1

Virtual Assistant – Remote | Full-Time / Part-Time.We are looking for a proactive and organized Virtual Assistant to support our team with day-to-day administrative tasks.This is a fully remote pos...Show more

 • Promoted

Work From Home

Remote JobsBig Sur, CA
Remote
Full-time

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work from ...Show more

 • Promoted

Assistant Food & Beverage Manager - ONSITE HOUSING

HyattBig Sur, CA, United States
Full-time

Description:** Welcome to Alila Ventana Big Sur.When you reach the edge of the continent, where the sky, the sea, the mountains, and the redwoods all converge, you find a place of unmatched beauty ...Show more

 • Promoted

Freight Handler

FedexBig Sur, CA
Full-time

Job Description**: As a Freight Handler at FedEx, you will be responsible for managing the movement of freight within the warehouse.This includes loading and unloading trucks, organizing freight, a...Show more

 • Promoted

Projects Controls Specialist II - Field Systems

Granite IndustrialWatsonville, CA, United States
Full-time

Building a career at Granite may be the most valuable thing you could do.Find your dream job today, and be part of something great.Our most powerful partnership is the one we have with our employee...Show more

 • Promoted

Work From Home - Product Specialist - $45 per hour

GL1Salinas, California
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet...Show more

 • Promoted

Work from Home – Product Feedback Support - $25-$45 per hour

GLCarmel Valley Village, California
Remote
Full-time

We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.Show more

 • Promoted

Hiring Now - Work from Home - No Experience

OCPACarmel Valley Village, California, us
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet...Show more

 • Promoted

Data Entry From Home

Data Entry JobsBig Sur, CA
Full-time

Data Entry Specialist (Remote).We're looking for a detail-oriented Data Entry Specialist to join our team from home.In this role, you'll be responsible for accurately inputting, updating, and maint...Show more

 • Promoted

Transfer Pricing Specialist

SpecializedMorgan Hill, CA, United States
Full-time

Are you looking to build strong, hands-on transfer pricing experience in a global, in-house environment? Do you enjoy working through complex intercompany transactions, understanding how a business...Show more

 • Promoted

Fulfillment Specialist

FastenalSalinas, CA, United States
Part-time

Embark on your journey as a Part-time Fulfillment Specialist, where you'll take charge of delivering excellence by replenishing inventory solutions and managing our industry leading vending program...Show more

 • Promoted

Equipment Operator

PrideStaffSan Martin, CALIFORNIA, US
Temporary
Quick Apply

At least 1 year of industry experience.We are excited to share a new opportunity for an Equipment Operator located in San Martin! This position is highly sought after and might not be available for...Show more

 • Promoted

Customer Success Manager, Manufacturing

Pop-Up TalentMorgan Hill, California, US
Full-time

Customer Success Manager (Manufacturing).Department: Sales / Engineering.Is this the role you are looking for If so read on for more details, and make sure to apply today.Salary up to $150K, depend...Show more

 • Promoted • New!

Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

OCPACarmel Valley Village, California, us
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet...Show more

 • Promoted

County Meter Reader

Meter ReaderBig Sur, CA
Full-time

Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used, cleaning of meter boxes, and removal of vegetation impeding access to meters...Show more

 • Promoted

Quality & Compliance Specialist

Lin Engineering IncMorgan Hill, CA, United States
Full-time

Quality & Compliance Specialist.For over 30 years, Lin Engineering has designed and manufactured precision motion control products stepper motors, BLDC motors, linear actuators, and more used in ae...Show more