Qureos Mentor

AdaptHealth

<div>Description:

Position Summary:
The Manager of Operations oversees daily operations within one or multiple branch locations, providing leadership, guidance, and coordination to ensure accurate and timely distribution of medical equipment, supplies, and services to patients' homes. This role collaborates with leadership, health systems, hospice partners, and key community referral sources to continuously improve patient services. The Manager of Operations serves as the site leader when on-site at assigned location(s) and is responsible for appointing a designee to serve in this capacity during their absence.
Essential Functions and Job Responsibilities:<ul><li>
Serves as the site leader when on-site at assigned location(s), ensuring operational continuity and appointing a qualified designee to assume site leadership responsibilities during absences.</li><li>
Oversees daily branch operations including Delivery, Warehouse, Logistics, and Respiratory staff (with appropriate clinical supervisory support, as required) to ensure timely and efficient execution of services.</li><li>
Manages branch budget, monitors financial performance against targets, and controls operational costs to achieve profitability and efficiency goals.</li><li>
Ensures all branch services comply with federal, state, and local regulations, including requirements from CMS, Department of Health, DOT, FDA, OSHA, and the company's accreditation organization.</li><li>
Oversees delivery fleet management including vehicle maintenance, safety compliance, DOT requirements for drivers, and accident/incident management.</li><li>
Ensures the dispatch team routes orders efficiently, meeting, or exceeding productivity and cost-per-delivery goals while ensuring timely and accurate service delivery.</li><li>
Controls branch-level inventory and places purchase orders in accordance with company restocking protocols, collaborating with department leaders to ensure timely, efficient, and clinically safe delivery of goods and services.</li><li>
Monitors and achieves key performance indicators including delivery times, order accuracy rates, patient satisfaction scores, and operational efficiency metrics.</li><li>
Oversees branch facility maintenance, warehouse organization, safety standards, and equipment maintenance (forklifts, warehouse equipment, etc.).</li><li>
Manages operational systems and technology platforms (routing software, inventory management, DME systems) to drive process improvements and operational efficiency.</li><li>
Identifies service trends, addresses customer concerns, and conducts root cause analysis to implement corrective measures and improve patient experience.</li><li>
Collaborates cross-functionally with Billing, Customer Service, Clinical, and other departments to resolve complex operational and patient issues.</li><li>
Maintains relationships with ordering physicians and referral sources, communicating patient status changes through visit reports and timely correspondence.</li><li>
Communicates regularly with regional and departmental leadership to align delivery resources with organizational goals and metrics for patient care, safety, personnel, and maintenance.</li><li>
Contributes to regional and organizational growth initiatives, driving process improvement and operational efficiency projects.</li><li>
Ensures initial and ongoing staff training occurs regularly with accountability measures, achieving operational and regulatory audit goals.</li><li>
Assists in resolving patient equipment problems during emergency conditions and supports preventative maintenance and service checks on home respiratory equipment.</li><li>
Assumes on-call responsibilities during non-business hours in accordance with company policy.</li><li>
Participates in continuing education and professional development to maintain current knowledge of industry standards, techniques, and AdaptHealth's HME products and services.</li><li>
Maintains patient confidentiality in compliance with HIPAA guidelines and completes all assigned compliance training and educational programs.</li><li>
Adheres to AdaptHealth's Compliance Program and all applicable company policies, procedures, and patient protocols.</li><li>
Performs other related duties as assigned.</li></ul>
Management/Supervision:<ul><li>
Recruits, selects, and hires qualified staff; provides effective onboarding, comprehensive training, and regular performance feedback.</li><li>
Develops workforce plans, creates staff schedules to meet operational demands, and manages labor hours and overtime to control costs.</li><li>
Communicates job expectations, monitors performance, and provides coaching, counseling, and disciplinary action as needed to achieve staff results.</li><li>
Establishes annual departmental goals and objectives aligned with the organization's strategic priorities.</li><li>
Achieves organizational performance and retention goals, including timely completion of employee performance evaluations.</li></ul>
Competency, Skills and Abilities:<ul><li>
Leadership Skills</li><li>
Strong ability to co-manage in a multi-site environment</li><li>
Independent Thinker and Decision Maker</li><li>
Strong analytical and critical thinking skills with attention to detail</li><li>
Excellent verbal and written communication</li><li>
Excellent customer service skills</li><li>
Proficient computer skills and knowledge of Microsoft Office specifically Excel</li><li>
Ability to prioritize and manage multiple projects</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
An associate degree from an accredited college required, bachelor&rsquo;s degree preferred</li><li>
Five (5) years&rsquo; experience in the HME leadership is required</li><li>
Relevant experience in health care, insurance customer services, claims, billing is preferred</li><li>
Valid and unrestricted driver&rsquo;s license in the state of residence</li></ul>
Physical Demands and Work Environment:<ul><li>
Work environment will be stressful at times, as overall office activities and work levels fluctuate</li><li>
Must be able to bend, stoop, stretch, stand, and sit for extended periods of time</li><li>
Subject to long periods of sitting and exposure to computer screen</li><li>
Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use</li><li>
Must be able to lift 50 pounds as needed</li><li>
Excellent ability to communicate both verbally and in writing</li><li>
May be exposed to angry or irate customers or patients</li><li>
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.</li><li>
Maybe required to travel as needed</li></ul></div>

Manager, Operations

<div>Description:

AdaptHealth Opportunity &ndash; Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives &ndash; out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients&rsquo; lives, please click to apply, we would love to hear from you.
Inside Sales Specialist
The Inside Sales Specialist is responsible for ensuring continuity between the patients, clinics, community, physician practice and the home setting to maximize patient satisfaction of services. Increasing sales, billed revenue, and new patients in accordance with department goals. Optimize patient safety, comfort, and well-being; to improve awareness and confidence among healthcare professionals, physicians and patients regarding current options and capabilities; to coordinate referrals to ensure timely admission and appropriate patient care based on referrals. Additionally, responsible for obtaining, processing, and complete complex orders with accurately and timely to ensure patient needs are met.
Job Duties:<ul><li>
Effectively working through a high volume of outbound calls in a fast-paced environment</li><li>
Generates a steady stream of referrals through researching various sales and marketing sources, selling all offered services</li><li>
Develop long term relationships with patients, families, referrals, clinics, etc. through cold calling, problem solving with insurance companies, follow-up, and integrity</li><li>
Partner with Marketing department to develop or enhance educational literature for patients, families, physicians, clinics, etc.</li><li>
Obtains all required information and medical documentation to ensure complete, accurate and timely processing of supply program orders. Validate codes and fees to assure there is coverage under the patient&rsquo;s policy</li><li>
Obtain Insurance authorizations when required by the Insurance and obtains physician order signatures as needed</li><li>
Discusses coverage guidelines with patients/referral sources and arranges for payment of non-covered items. Suggests alternative equipment as warranted based on reimbursement limitations</li><li>
Contact patients to explain benefits and financial responsibility for services and assist them with questions regarding their insurance coverage</li><li>
Contact referral sources and patients to discuss any problems or delays encountered during insurance verification</li><li>
Assures that diagnoses and disease-state warrant the need for prescribed durable medical equipment (DME) from a reimbursement standpoint. Suggests additional equipment if warranted based on diagnoses or makes appropriate recommendations</li><li>
Understands issues related to the most cost-effective delivery method for DME ordered</li><li>
Maintains working knowledge base regarding billing, documentation, and reimbursement guidelines/ issues, including but not limited to Medicare, Medicaid, Other Third Party, and contracted payers</li><li>
Assist patients and referrals in finding an alternative provider if service is not covered by insurance</li><li>
Prioritize urgent or emergency orders</li><li>
Validate and Log CMNs and PARs as needed</li><li>
Acts as a resource to all external customers to facilitate resolution of AH patient issues in coordination with members of the operational teams within AH to assure optimal patient and referral source outcomes</li><li>
Acts as a resource for referral source staff regarding Medicare, Medicaid and private insurance documentation and reimbursement guidelines related to DME/RT equipment and services</li><li>
Identifies programs or initiatives that potentially could increase company revenues, decrease costs, and/or increase customer satisfaction</li><li>
Knows when to appropriately use best judgment with patients/referral sources during conflicts</li><li>
Contributes to creative problem-solving and decision-making within the branch marketing team to achieve marketing/sales goals</li><li>
Job Title: Inside Sales Specialist FLSA Classification: Non-Exempt</li><li>
Expresses confidence in ability to diagnose, develop and carry out solutions to customer complaints</li><li>
Makes appropriate service-related decisions by reviewing all relevant medical information and facts, exploring all medical alternatives</li><li>
Knows when to appropriately use consensus and/or independent decision-making styles</li><li>
Identifies and clearly communicates to sales and operations the needs of hospital and physician referral sources</li><li>
Promotes teamwork within branch sales and operational teams by adapting to necessary changes in operational needs</li><li>
Utilizes team/company communication systems to report and process requested information</li><li>
Shares information and expertise with colleagues to enable them to carry out their role more effectively</li><li>
Participates in team meetings as requested</li></ul>
Competency, Skills and Abilities:<ul><li>
Excellent verbal and written communication skills</li><li>
Excellent presentation skills</li><li>
Excellent customer service skills</li><li>
Product knowledge</li><li>
Motivation for sales</li><li>
Ability to work independently and with a team</li><li>
Strong analytical and problem-solving skills with attention to detail</li><li>
Ability to prioritize and manage multiple projects</li><li>
Possess mental alertness and ability to properly treat confidential information.</li><li>
Proficient computer skills and knowledge of Microsoft Office</li></ul>
Requirements:

Minimum Job Qualifications:<ul><li>
High School Diploma required; Associate Degree from an accredited college is preferred</li><li>
One (1) year work related in health care, administrative, insurance, customer services, or management regardless of industry</li><li>
B2B or B2C Sales preferred</li></ul>
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual&rsquo;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.</div>

Inside Sales Specialist

<div>Description:

Revenue Cycle Management Specialist are responsible for maintaining a timely revenue cycle for all the goods and
services provided by AdaptHealth. Also responsible for maintaining patient confidentiality and function within the
guidelines of HIPAA. Completes assigned compliance training and other educational programs as required. Maintains
compliant with AdaptHealth&rsquo;s Compliance Program.
Essential Functions and Job Responsibilities:
Account Receivable<ul><li>
Ensure organization receives accurate payment for goods &amp; services provided according to contracted rates and/or payer fee schedules.</li><li>
Collect on accounts by sending bills or following up on bills with payers via phone, email, fax, mail, or websites.</li><li>
Reconcile the accounts receivable to ensure that all payments are accounted for and properly posted.</li><li>
Investigate and resolve customer inquiries regarding charges.</li><li>
Monitor patient account details for non-payments, delayed payments, and other irregularities.</li><li>
Communicate with customers regarding insurance, payments, and invoices.</li><li>
Research and resolve payment discrepancies.</li><li>
Identify and verify that billing complies with policies and procedures.</li><li>
Identify trends and root causes related to inaccurate payments and escalate as appropriate.</li></ul>
Authorization<ul><li>
Analyze daily requests to determine coverage and approval utilizing criteria.</li><li>
Utilize clinical staff for medial reviews when necessary.</li><li>
Notify staff when authorization is approved or denied.</li><li>
Obtain &amp; enter authorization into database timely &amp; accurately.</li><li>
Collaborates with internal &amp; external customers to provide status updates &amp; coordinate appeals on denied authorization.</li><li>
Resolves pending revenue by reconciling approved authorizations and pending charges.</li></ul>
Confirmation<ul><li>
Ensure order will bill correctly to insurance.</li><li>
Ensure order has valid proof of delivery.</li><li>
Address messages on sales order</li><li>
Correct messages as needed.</li><li>
Process order to correct WIP state or confirm order.</li></ul>
Data Support<ul><li>
Responsible for the daily claims submissions/printing for all eligible/ready status claims</li><li>
Resolves all claim rejections in a timely manner to guarantee submission within the timely filing requirements of the payers.</li><li>
Identifies claim rejections and escalates as appropriate to facilitate educational opportunities or process improvements.</li><li>
Maintains daily, weekly, monthly system/database functions and performs routine functions as defined by leadership.</li></ul>
Unbilled Revenue<ul><li>
Analyze documentation required for billing services and ensure compliance to payer requirements.</li><li>
Resolve pending revenue by reconciling received documentation and pending charges.</li><li>
Requests authorization from state Medicaid programs.</li><li>
Maintains and updates physician databases to ensure accurate delivery of billing documentation and communications with physician offices.</li><li>
Completes accurate documentation of authorization request and follow up activities on each account.</li><li>
Ensures proper payer and system follow up procedures are performed for accurate authorization tracking.</li><li>
Performs extensive account audits and ensures proper billing for services to the accurate payer.</li><li>
Ensures proper revenue recognition for billed charges and services moving forward.</li><li>
Completes all assigned requalification within the set 75-day time frame by having patients retested, picking up equipment when appropriate, or executing ABNs and setting patients up on autopay.</li><li>
Investigate and resolve customer, patient, or physician office, concerns regarding questions while working with the patient through the requalification process.</li><li>
Establish and maintain relationships with key individuals in the regions to support the requalification process setting clear expectations of what is required by the region.</li></ul>
Patient Financial Services<ul><li>
Identify trends and root causes related to inaccurate private pay billing, and report to manager while resolving account errors.</li><li>
Investigate escalated customer billing inquiries and take appropriate action to resolve the account.</li><li>
Resolve private pay charges for returned payments due returned payments.</li><li>
Resolve accounts pertaining to patient account inaccuracies or patient demographics.</li><li>
Respond to Collection agency regarding patient disputes of balances owed on accounts.</li><li>
Enroll patients calling regarding financial responsibility and enroll in autopay.</li></ul>
RCM System (CPTM):<ul><li>
Responsible for updating data elements that drive revenue generation and decrease denial rates.</li><li>
Work collaboratively with RCM leadership to maximize RCM overall productivity.</li><li>
Adhere to frameworks and maintain documentation appropriately.</li><li>
Assume responsibility for independent completion of tasks and small projects.</li></ul>
All RCM Specialist responsibilities:<ul><li>
Educate patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends.</li><li>
Maintains an extensive knowledge of different types of payer coverage, insurance policies, payer guidelines and payer contracts ensure accurate billing and timely payment is received.</li><li>
Responsible for entering data in an accurate manner, into database including although not limited to payer, authorization requirements, coverage limitations and status of any requalification.</li><li>
Collaborates with physician offices, AdaptHealth sales and support staff to ensure timely receipt of documentationas well as educating, as necessary.</li><li>
Identify trends and providing feedback and education to internal and external customers on compliant documentation requirements for services provided.</li><li>
Develop and maintain working knowledge of current HME products and services offered by the company.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other educational programs as required.</li><li>
Maintains compliant with AdaptHealth&rsquo;s Compliance Program</li><li>
Performs other related duties as assigned.</li></ul>
Requirements:

Competency, Skills and Abilities:<ul><li>
Decision Making</li><li>
Analytical and problem-solving skills with attention to detail</li><li>
Strong verbal and written communication</li><li>
Excellent customer service skills</li><li>
Proficient computer skills and knowledge of Microsoft Office</li><li>
Ability to prioritize and manage multiple tasks.</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.</li></ul>
Education and Experience Requirements:<ul><li>
High School Diploma or equivalent</li><li>
One (1) year work related experience in health care administrative, financial, or insurance customer services,</li><li>
claims, billing, call center or management regardless of industry.</li><li>
Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.</li><li>
Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.</li></ul></div>

Senior RCM Specialist

<div>Description:

Position Summary:
The Respiratory Support Technician provides comprehensive direct and indirect patient care services across home, office, and hospital environments in accordance with all governmental, accrediting, and organizational policies and procedures. This role ensures patients receive appropriate goods and services in the most efficient and satisfactory manner possible while serving as a subject matter expert, conducting new hire training, and mentoring team members.
The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.
Essential Functions and Job Responsibilities:
Patient Care &amp; Service Delivery<ul><li>
Collaborate with Respiratory Department Staff, CPAP/BIPAP Program Managers, and Operations Managers to provide equipment instruction, service, and troubleshooting for respiratory patients</li><li>
Set up and fit PAP patients with appropriate equipment and masks</li><li>
Conduct patient follow-up calls and visits to ensure optimal care outcomes</li><li>
Communicate instructions and processes to patients in a professional, informative, and appropriate manner</li><li>
Contact clinical support when urgent patient needs are identified during home visits</li></ul>
Equipment Management &amp; Maintenance<ul><li>
Perform routine preventative maintenance checks and simple repairs per company policy and manufacturer guidelines</li><li>
Troubleshoot equipment failures with patience and professionalism</li><li>
Report equipment hazards and product incidents in accordance with company policies and procedures</li><li>
Maintain working knowledge of current Respiratory Programs and HME products and services</li></ul>
Documentation &amp; Compliance<ul><li>
Complete all required company, insurance, and government paperwork accurately and timely, including:</li><li>
Delivery tickets and safety checklist forms</li><li>
Patient booklet receipts, ABNs, and AMAs</li><li>
Equipment-specific instruction and cleaning forms</li><li>
Develop and maintain basic reimbursement knowledge to ensure proper documentation for billing purposes</li><li>
Maintain patient confidentiality and operate within HIPAA guidelines</li><li>
Complete assigned compliance training and educational programs</li><li>
Maintain compliance with AdaptHealth's Compliance Program</li></ul>
Safety &amp; Quality Assurance<ul><li>
Adhere to procedures for Personal Protective Equipment (PPE), infection control, and hazardous materials handling</li><li>
Assist with implementation of quality improvement programs to meet company standards</li><li>
Promote services and products to community referral sources as appropriate</li></ul>
Lead, Respiratory Support Technician - All Level 1 and 2 duties plus:<ul><li>
Serves as subject matter expert and primary resource for team</li><li>
Conducts new hire training and mentors team members</li><li>
Handles escalated calls and complex issues with appropriate follow-up</li><li>
Identifies root causes of service issues and collaborates on process improvements</li><li>
Prepares reports for leadership and other departments</li><li>
Supports departmental standards and Patient Experience initiatives</li><li>
Assists with task coordination and ensures adherence to workflows</li><li>
Collaborate with supervisor on performance metrics and service excellence</li></ul><ul><li>
Assist with implementation of quality improvement programs to meet company policies.</li><li>
Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other educational programs as required.</li><li>
Maintains compliant with AdaptHealth&rsquo;s Compliance Program.</li><li>
Perform other related duties as assigned.</li></ul>
Competency, Skills, and Abilities:<ul><li>
Equipment repair or maintenance skills</li><li>
Proficiency with computer systems and database applications</li><li>
Understanding of basic medical terminology</li><li>
Knowledge of insurance verification processes</li><li>
Strong attention to detail and organizational skills</li><li>
Ability to work under time constraints and manage multiple priorities</li><li>
Written and verbal communication skills</li><li>
Professional demeanor in patient and staff interactions</li><li>
Commitment to confidentiality and data security protocols</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required</li><li>
Work-related construction, general manual labor, military and equipment repair, or maintenance skills would be considered related experience</li><li>
Exact job experience is considered any of the above tasks in a Medicare certified HME environment that routinely bills insurance.</li><li>
Knowledge of respiratory therapy or DME services preferred.</li><li>
Valid and unrestricted driver&rsquo;s license from state of residence</li><li>
Specialist Level: (Entry Level):</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Ability to perform repetitive motions of wrists, hands and/or fingers due to extensive computer use.</li><li>
Work environment may be stressful at times, as overall office activities and work levels fluctuate.</li><li>
Subject to long periods of sitting and exposure to computer screen.</li><li>
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen</li><li>
May be exposed to angry or irate customers, patients, or referral sources.</li><li>
Ability to utilize a personal computer and other office equipment.</li><li>
Assist in pulling a patient with a weight of approximately 130 pounds to a sitting position.</li><li>
Must be able to lift 50 pounds as needed.</li><li>
Mental alertness to perform the essential functions of position.</li><li>
May be exposed to angry or irate customers or patients</li><li>
Ability to work outside of normal business hours.</li><li>
Requires travel throughout service area and use of personal vehicles</li><li>
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.</li><li>
Must be able to access the patient&rsquo;s residence as needed.</li><li>
Ability to work independently with minimal supervision and availability for extended hours when required.</li></ul></div>

Respiratory Support Technician

<div>Description:

Position Summary:
The Care Coach plays a vital role in supporting patients across all Durable Medical Equipment (DME) product lines to improve therapy adherence, device utilization, and health outcomes. This position combines patient coaching, data monitoring, documentation, and cross-functional collaboration to ensure a seamless and supportive experience for individuals managing chronic conditions.
The Care Coach provides personalized education and emotional support, monitors device usage and compliance data, and coordinates with internal teams and external partners to resolve patient needs. This role requires strong communication, technical aptitude, and a patient-centered mindset to empower individuals in their therapy journey while ensuring compliance with regulatory and organizational standards.
The Lead, Patient Care Coach helps to drive operational excellence, serves as a mentor and subject matter expert (SME), guiding team members, resolving escalations, and ensuring consistent, compliant, and patient-centered service delivery. The Lead will collaborate across departments, identify process improvement opportunities, and support training and development initiatives to elevate team performance.
Essential Functions and Job Responsibilities:<ul><li>
Provide one-on-one mentoring and coaching to patients on device use, including PAP, CGM, and other applicable technologies.</li><li>
Educate patients on proper use, benefits, and maintenance of devices.</li><li>
Utilize motivational interviewing, cognitive-behavioral techniques, and desensitization strategies to overcome resistance or discomfort.</li><li>
Offer emotional encouragement and empathy to support patient engagement and therapy success.</li><li>
Monitor patient adherence and usage data via device software and apps.</li><li>
Provide timely feedback, motivation, and interventions based on adherence trends.</li><li>
Coordinate follow-up with patients to address compliance issues, troubleshoot equipment, and ensure scheduled appointments with healthcare providers are met.</li><li>
Accurately document all patient interactions, device data, and communications in the EMR system.</li><li>
Maintain up-to-date records including payer information, authorization requirements, coverage limitations, and requalification status.</li><li>
Ensure documentation meets billing, compliance, and internal reporting standards.</li><li>
Work closely with local branches, clinical staff, resupply teams, and physician offices to resolve patient needs and ensure continuity of care.</li><li>
Obtain and document follow-up notes from physician offices for billing and adherence purposes.</li><li>
Educate internal teams and external partners on documentation requirements and adherence standards.</li><li>
Participate in team meetings, training, and compliance education programs.</li><li>
Share knowledge and mentor team members to foster a collaborative and informed work environment.</li><li>
Ensure all activities are conducted in accordance with HIPAA and company confidentiality policies.</li><li>
Complete all required compliance training and continuing education programs.</li><li>
Manage multiple tasks efficiently, including handling call volumes and updating records in real time.</li><li>
Perform other related duties, as assigned to support patient care and organizational goals.</li></ul>
Lead Responsibilities:<ul><li>
Perform all core/essential duties of a Patient Care Coach, including patient outreach, adherence education, documentation, equipment troubleshooting, and compliance coaching.</li><li>
Provide mentorship, guidance, and oversight to Care Coach Team.</li><li>
Identify individual team member strengths and development opportunities, report findings to supervisors/management.</li><li>
Respond to internal coaching requests via SME queue, office communicator, and email.</li><li>
Assume responsibility for resolving escalations, coordinating with business partners while maintaining consistent communication with patients.</li><li>
Actively participate in team activities, including mentoring, training, and knowledge sharing.</li><li>
Apply subject expertise to evaluate business operations and recommend improvements.</li><li>
Identify areas where technical solutions can enhance performance and efficiency.</li><li>
Demonstrate and document techniques to streamline production processes.</li><li>
Assist in developing and maintaining reference materials and facilitate information sharing across teams.</li><li>
Coach team members on navigating systems to locate patient and call-related information.</li><li>
Support onboarding and training of new employees.</li><li>
Provide ongoing assistance to team members encountering challenges during patient interactions.</li><li>
Collaborate with physician offices, sales, and support staff to ensure timely and compliant documentation.</li><li>
Ensure compliance with AdaptHealth&rsquo;s Compliance Program and complete required training.</li><li>
Accurately enter data into systems, including payer information, authorization requirements, coverage limitations, and requalification status.</li><li>
Assist in developing and maintaining reference materials and best practices.</li><li>
Build and maintain relationships with branches and other teams to achieve shared goals.</li><li>
Identify trends and provide feedback to improve documentation and service delivery.</li><li>
Maintain current knowledge of HME products, services, and insurance guidelines.</li><li>
Flexibility to work outside standard business hours as needed.</li></ul>
Competency, Skills and Abilities:<ul><li>
Prior experience in motivational interviewing, behavioral coaching, or patient education, preferred.</li><li>
Foundational knowledge of chronic conditions commonly supported by DME (e.g., sleep apnea, diabetes, respiratory disorders), and associated therapies and devices.</li><li>
Ability to provide empathetic, patient-centered support, including active listening, emotional encouragement, and conflict resolution.</li><li>
Familiarity with device compliance reporting tools, data analytics platforms, and remote monitoring technologies.</li><li>
Technical aptitude for understanding device functionality, troubleshooting issues, and interpreting usage data.</li><li>
Strong analytical and decision-making skills with attention to detail and accuracy.</li><li>
Excellent verbal and written communication skills for interacting with patients, providers, and internal teams.</li><li>
Ability to collaborate effectively across departments, including clinical, operational, and administrative teams.</li><li>
Experience educating internal and external stakeholders on documentation, adherence standards, and best practices.</li><li>
Proficient in Microsoft Office and comfortable using digital tools, apps, EMR systems, and telehealth platforms.</li><li>
Ability to manage multiple tasks in a fast-paced environment, prioritize effectively, and adapt to changing workflows.</li><li>
Skilled in identifying problems, evaluating options, and implementing solutions independently or collaboratively.</li><li>
Understanding of HIPAA regulations and commitment to maintaining patient confidentiality.</li><li>
Ability to accurately document patient interactions, device data, and communications in compliance with company and regulatory standards.</li><li>
Completion of required compliance training and continuing education programs.</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required; Associate&rsquo;s degree in healthcare administration, Business Administration, or related field preferred</li><li>
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services</li><li>
Entry Level:</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Primarily office-based with extended periods of sitting and computer use.</li><li>
Requires mental alertness and the ability to communicate with empathy and professionalism.</li><li>
Work environment may be stressful at times, as overall office activities and work levels fluctuate</li><li>
Must be able to bend, stoop, stretch, stand, and sit for extended periods of time</li><li>
Subject to long periods of sitting and exposure to computer screen</li><li>
Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use</li><li>
Must be able to lift 30 pounds as needed</li><li>
Excellent ability to communicate both verbally and in writing</li><li>
May be exposed to angry or irate customers or patients</li></ul></div>

Patient Care Coach

<div>Description:

Position Summary
The Lead, Revenue Cycle Management Specialist is the subject matter expert for insurance payer accounts receivables
and will be responsible for assisting the management team with leadership oversight of the RCM domestic and global
teams. This individual will provide work assignments, feedback, training, and guidance to ensure RCM staff is following
department protocol with RCM processes. The Lead for RCM will handle escalated phone calls from patients or
insurance companies that cannot be effectively resolved by offshore staff. This individual will work closely with the supervisor
and management to identify payor trends and develop RCM process improvements.
Essential Functions and Job Responsibilities:<ul><li>
 Mentors guide and provide oversight assistance to the team. The majority of AdaptHealth RCM team members are located offshore.</li><li>
 Applying subject expertise in evaluating business operations and processes.</li><li>
 Identifying areas where technical solutions would improve business performance.</li><li>
 Consulting across teams, providing mentorship, and contributing specialized knowledge.</li><li>
 Demonstrated various techniques and documentation to streamline the production process.</li><li>
 Identify team members' strengths and opportunities and report findings to supervisors</li><li>
 Respond to internal inquiries for coaching assistance via the subject matter expert queue, office communicator, and email</li><li>
 Assume responsibility for resolving team member escalations by working with multiple business partners while consistent communication is present with the member</li><li>
 Coach others on how to navigate through systems to find information needed for calls</li><li>
 As a Subject Matter Expert, assist with training new employees and assist other CSRs with problems they encountered while interacting with members over the phone; addressed escalated customer questions and concerns</li><li>
 Performed ad hoc deep-dive analyses for specific business problems.</li><li>
 Training and development of team members to ensure AdaptHealth policy and protocol are being followed.</li><li>
 Take escalated phone calls that cannot be effectively resolved by team members.</li><li>
 Communicate with other departments, front end staff regarding billing issues and trends to work toward an account resolution and decrease insurance denial percentages within AdaptHealth.</li><li>
 Handle all insurance payer disputes that are filtered into the department.</li><li>
 Identify trends and root causes related to inaccurate insurance billing, and report to the manager while resolving account errors.</li><li>
 Assists in conducting team meetings to educate on insurance guidelines, claim denials, and re-training efforts on accounts incorrectly worked.</li><li>
 Develops and enhances the process and payer-specific work job aids and standard operating procedures.</li><li>
 Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account.</li><li>
 Provides quality payer feedback to other AdaptHealth leadership.</li><li>
 Develop and maintain a working knowledge of current AdaptHealth products and services offered by the company.</li><li>
 Maintain patient confidentiality and function within the guidelines of HIPAA.</li><li>
 Completes assigned compliance training and other educational programs as required.</li><li>
 Maintains compliance with AdaptHealth&rsquo;s Compliance Program.</li><li>
 Perform other related duties as assigned.</li></ul>
Competency, Skills, and Abilities:<ul><li>
 Decision Making</li><li>
 Strong analytical and problem-solving skills with attention to detail</li><li>
 Excellent verbal and written communication</li><li>
 Excellent customer service skills</li><li>
 Proficient computer skills and knowledge of Microsoft Office</li><li>
 Ability to prioritize and manage multiple projects</li><li>
 Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction</li><li>
 Understanding and identifying priority orders</li><li>
 Extensive knowledge of products offered and the required paperwork to ensure we can bill for those products</li><li>
 Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
 High School Diploma required; Associated degree preferred</li><li>
 Three (3) years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management regardless of industry required</li><li>
 Two (2) exact job experience in HME, Diabetic, home medical supplies, Pharmacy, HH environment is preferred.</li><li>
 Exact job experience is considered any of the above tasks in a Medicare-certified HME, IV, or HH environment that routinely bills insurance.</li></ul>
Physical Demands and Work Environment:<ul><li>
 The work environment may be stressful at times, as overall office activities and work levels fluctuate</li><li>
 Must be able to bend, stoop, stretch, stand, and sit for extended periods of time</li><li>
 Subject to long periods of sitting and exposure to a computer screen</li><li>
 Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use</li><li>
 Mental ability to convey knowledge and mentor others</li><li>
 Mental ability to analyze information, problem solve and identify areas of opportunity</li><li>
 Must be able to lift 30 pounds as needed</li><li>
 Excellent ability to communicate both verbally and in writing</li><li>
 May be exposed to angry or irate customers or patients</li></ul></div>

Lead, RCM Specialist

<div>Description:

AdaptHealth Opportunity &ndash; Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives &ndash; out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients&rsquo; lives, please click to apply, we would love to hear from you.
Intake Specialist
The Intake Specialist has a broad range of responsibilities including accurate and timely data entry, understanding, and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information/communication. Intake Specialist&rsquo;s schedules can vary based on the need of the branch.
The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.
Essential Functions and Job Responsibilities:<ul><li>
Accurately enters referrals within allotted timeframe as established; meeting productivity and quality standards as established.</li><li>
Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion.</li><li>
Works with leadership to ensure appropriate inventory/services are provided.</li><li>
Communicates with patients regarding their financial responsibility, collects payment and documents in patient record accordingly.</li><li>
For non-Medicaid patients communicate with patients</li><li>
Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered.</li><li>
Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service.</li><li>
Answers phone calls in a timely manner and assists caller.</li><li>
Reviews medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered.</li><li>
Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.</li><li>
Works with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process.</li><li>
Contacts patients when documentation received does not meet payer guidelines, provide updates, and offer additional options to facilitate the referral process.</li><li>
Works with sales team to obtain necessary documentation to facilitate referral process, as well as support referral source relationships.</li><li>
Must be able to navigate through multiple online EMR systems to obtain applicable documentation.</li><li>
Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.</li><li>
Assume on-call responsibilities during non-business hours in accordance with company policy.</li></ul><ul><li>
Lead Responsibilities:</li><li>
Supervise and provide guidance to team members in daily operations and complex case resolution</li><li>
Lead team meetings and facilitate training sessions for staff development</li><li>
Monitor team performance metrics and productivity standards, providing feedback and coaching as needed</li><li>
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions</li><li>
Develop and implement process improvements and workflow optimization strategies</li><li>
Coordinate with management on staffing needs, scheduling, and resource allocation</li><li>
Conduct new employee onboarding and ongoing training programs</li><li>
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes to guide team decisions</li><li>
Prepare reports and analysis on team performance, trends, and operational metrics for management review</li><li>
Maintains patient confidentiality and functions within the guidelines of HIPAA.</li><li>
Completes assigned compliance training and other education programs as required.</li><li>
Maintains compliance with AdaptHealth's Compliance Program.</li><li>
Performs other related duties as assigned.</li></ul>
Competency, Skills and Abilities:<ul><li>
Ability to appropriately interact with patients, referral sources and staff.</li><li>
Decision Making.</li><li>
Analytical and problem-solving skills with attention to detail.</li><li>
Strong verbal and written communication.</li><li>
Excellent customer service and telephone service skills.</li><li>
Proficient computer skills and knowledge of Microsoft Office.</li><li>
Ability to prioritize and manage multiple tasks.</li><li>
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
</li><li>Ability to work independently as well as follow detailed directives</li><li>
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction.</li></ul>
Requirements:

Education and Experience Requirements:<ul><li>
High school diploma or equivalent required; Associate&rsquo;s degree in healthcare administration, Business Administration, or related field preferred</li><li>
Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.</li><li>
Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services</li><li>
Specialist Level: (Entry Level):</li></ul>
One (1) year of work-related experience<ul><li>
Senior Level:</li></ul>
One (1) year of work-related experience plus
Two (2) years exact job experience<ul><li>
Lead Level:</li></ul>
One (1) year of work-related experience plus
Four (4) years exact job experience
Physical Demands and Work Environment:<ul><li>
Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds.</li><li>
Professional office setting with variable stress levels during authorization deadlines, appeals processes, and urgent patient authorization needs.</li><li>
Proficiency with computers, office equipment, payer portal systems, and healthcare software applications</li><li>
Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion.</li><li>
Communication: Professional verbal and written communication skills for payer interactions and healthcare provider coordination at all organizational levels</li><li>
Ability to work independently with minimal supervision and availability for extended hours when required.</li><li>
Mental alertness to perform the essential functions of position.</li></ul></div>

Intake Specialist

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