Operations Specialist

AdaptHealth•Raleigh, NC

13d

About The Position

The Operations Specialist supports patient care and operational excellence by improving workflows, training teams, optimizing processes, and helping ensure accurate and compliant operations. The role includes reviewing and processing documentation such as insurance verification, authorizations, and orders; navigating EMR systems to enter, track, and validate patient and authorization data; analyzing workflows and resolving errors; and collaborating with teams and leadership to address issues and communicate trends. The specialist maintains knowledge of payer guidelines, products, and services, contributes to training and onboarding, and participates in projects that improve operational performance. The role also involves meeting quality and performance metrics while managing multiple priorities. As needed, the specialist delivers and sets up home medical equipment, educates patients, conducts assessments and follow-ups, maintains accurate documentation and compliance with HIPAA, PPE, and infection-control standards, and safely operates company vehicles for equipment delivery. Other duties may be assigned.

Requirements

High school diploma, an associate’s degree in a related field such as Healthcare Administration or Business Administration, or equivalent work experience.
Valid and unrestricted driver’s license.
One year of related work experience.
Excellent verbal and written communication skills, including analytical, problem-solving, and decision-making abilities, with attention to detail.
Ability to multitask in a fast-paced environment.
Ability to work independently while following established procedures and directives.

Nice To Haves

Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service roles.
Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment.
Proficient computer skills; familiarity with Microsoft Office and healthcare systems.
Comfort learning new technologies and navigating multiple systems.

Responsibilities

Support regional operations through workflow improvement, training, and process optimization.
Review and process documentation, including insurance verification, authorizations, and order accuracy.
Use EMR systems to enter, track, and validate patient and authorization data.
Analyze workflows, identify errors, and implement solutions to improve efficiency and quality.
Collaborate with teams and leadership to resolve issues and communicate trends.
Maintain knowledge of payer guidelines, products, and services to ensure compliance.
Assist with training materials, onboarding, and cross-functional support.
Participate in projects to refine processes and enhance operational performance.
Meet quality and performance metrics while managing multiple priorities.
Deliver, set up, and educate patients on home medical equipment as needed.
Perform patient assessments and follow-ups to support care and compliance.
Ensure accurate documentation and adherence to HIPAA, PPE, and infection-control standards.
Safely operate company vehicles for equipment delivery.
Perform other duties as assigned.

Benefits

Comprehensive medical, dental, and vision coverage, eligible the first of the month following hire.
401(k) with company match.
Paid time off plans, including six paid holidays.
Employee Stock Purchase Plan.
Paid parental bonding leave.
Short- and long-term disability insurance.
Life and AD&D insurance.
Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).
CVS Minute Clinic and Teledoc access.
Spousal Advantage Reimbursement Plan.
Identity Theft Protection and Legal Plan.