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AdaptHealthtoday

Lead, Operations

On-site · Bluefield, Virginia, United States

Type
Full Time
Level
Senior Level
Education
High School Or Equivalent
Company size
Enterprise

Job Summary

The Operations-focused Lead, Operations role supports the Operations Team across regions, including delivering and setting up medical equipment as needed. The Lead serves as a subject matter expert, provides new hire training and mentorship, and leads process-improvement initiatives, data analysis, and workflow optimization. Requires strong knowledge of payer guidelines, clinical documentation, EMR systems, insurance verification, pre-authorization processes, and HIPAA compliance. Responsibilities span documenting and reviewing processes, ensuring accuracy in documentation, validating patient eligibility and coverage, and coordinating with insurance and revenue-cycle activities. The role also includes supervising team members, leading meetings and training, monitoring performance metrics, and preparing management-level analyses. Requires ability to navigate multiple EMR systems, deliver patient care equipment when needed, drive as required, maintain PPE and infection-control practices, and participate in on-call duties. Education/experience includes a high school diploma or equivalent (associate degree preferred), valid driver’s license, healthcare administration/insurance experience, and progression through Specialist/Senior/Lead levels with increasing years of experience. Maintains patient confidentiality per HIPAA and adheres to Compliance Program requirements.

Required Qualifications

  • High school diploma or equivalent required
  • Associate’s degree in healthcare administration, Business Administration, or related field preferred
  • Valid and unrestricted driver's license in the state of residence
  • Related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry
  • Exact job experience is health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services
  • Specialist Level: One (1) year of work-related experience
  • Senior Level: One (1) year of work-related experience plus Two (2) years exact job experience
  • Lead Level: One (1) year of work-related experience plus Four (4) years exact job experience
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AdaptHealth

Lead, Operations

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