AdaptHealth
Intake Specialist
AdaptHealth Opportunity – Apply Today!
At AdaptHealth we offer full‑service home medical equipment products and services to empower patients to live their best lives – 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 patients’ lives, please click to apply.
Job Type
Full‑time
Essential Functions and Job Responsibilities
Accurately enter referrals within allotted timeframe; meet productivity and quality standards.
Communicate with referral sources, physicians, and associated staff to ensure documentation is routed to the appropriate physician for signature/completion.
Work with leadership to ensure appropriate inventory/services are provided.
Communicate with patients regarding financial responsibility, collect payment, and document in patient record.
For non‑Medicaid patients, communicate financial information and collect payment.
Review medical records for non‑sales assisted referrals to ensure compliance standards are met prior to service rendering.
Follow company philosophies and procedures to ensure appropriate shipping method for delivery.
Answer phone calls promptly and assist callers.
Demonstrate expert knowledge of payer guidelines and read clinical documentation to determine qualification status and compliance for all equipment and services.
Work with community referral sources to obtain compliant documentation timely.
Contact patients when documentation does not meet payer guidelines, provide updates, and offer additional options.
Collaborate with sales team to obtain necessary documentation and support referral source relationships.
Navigate multiple online EMR systems to obtain applicable documentation.
Work with insurance verification team to ensure all needs are met for accurate patient information and payments.
Assume on‑call responsibilities during non‑business hours in accordance with company policy.
Lead Responsibilities:
Supervise and provide guidance to team members in daily operations and complex case resolution.
Lead team meetings and facilitate training sessions for staff development.
Monitor team performance metrics and productivity standards; provide feedback and coaching as needed.
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions.
Develop and implement process improvements and workflow optimization strategies.
Coordinate with management on staffing needs, scheduling, and resource allocation.
Conduct new employee onboarding and ongoing training programs.
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes.
Prepare reports and analysis on team performance, trends, and operational metrics for management review.
Maintain patient confidentiality and comply with HIPAA guidelines.
Complete assigned compliance training and other education programs as required.
Maintain compliance with AdaptHealth's Compliance Program.
Perform other related duties as assigned.
Competency, Skills and Abilities
Appropriately interact with patients, referral sources, and staff.
Decision making.
Analytical and problem‑solving skills with attention to detail.
Strong verbal and written communication.
Excellent customer service and telephone service skills.
Proficient computer skills and knowledge of Microsoft Office.
Prioritize and manage multiple tasks.
Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Work independently and follow detailed directives.
Learn new technologies and possess the technical aptitude required to understand flow of data through systems and system interaction.
Education and Experience Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, Business Administration, or related field preferred.
Related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
Exact job experience in health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services.
Experience Levels
Entry Level/ 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.
Physical Demands and Work Environment
Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds.
Professional office setting with variable stress levels during authorization deadlines, appeals processes, and urgent patient authorization needs.
Proficiency with computers, office equipment, payer portal systems, and healthcare software applications.
Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion.
Professional verbal and written communication skills for payer interactions and healthcare provider coordination at all organizational levels.
Ability to work independently with minimal supervision and availability for extended hours when required.
Mental alertness to perform the essential functions of the position.
#J-18808-Ljbffr
At AdaptHealth we offer full‑service home medical equipment products and services to empower patients to live their best lives – 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 patients’ lives, please click to apply.
Job Type
Full‑time
Essential Functions and Job Responsibilities
Accurately enter referrals within allotted timeframe; meet productivity and quality standards.
Communicate with referral sources, physicians, and associated staff to ensure documentation is routed to the appropriate physician for signature/completion.
Work with leadership to ensure appropriate inventory/services are provided.
Communicate with patients regarding financial responsibility, collect payment, and document in patient record.
For non‑Medicaid patients, communicate financial information and collect payment.
Review medical records for non‑sales assisted referrals to ensure compliance standards are met prior to service rendering.
Follow company philosophies and procedures to ensure appropriate shipping method for delivery.
Answer phone calls promptly and assist callers.
Demonstrate expert knowledge of payer guidelines and read clinical documentation to determine qualification status and compliance for all equipment and services.
Work with community referral sources to obtain compliant documentation timely.
Contact patients when documentation does not meet payer guidelines, provide updates, and offer additional options.
Collaborate with sales team to obtain necessary documentation and support referral source relationships.
Navigate multiple online EMR systems to obtain applicable documentation.
Work with insurance verification team to ensure all needs are met for accurate patient information and payments.
Assume on‑call responsibilities during non‑business hours in accordance with company policy.
Lead Responsibilities:
Supervise and provide guidance to team members in daily operations and complex case resolution.
Lead team meetings and facilitate training sessions for staff development.
Monitor team performance metrics and productivity standards; provide feedback and coaching as needed.
Serve as primary escalation point for difficult customer issues and complex regulatory compliance questions.
Develop and implement process improvements and workflow optimization strategies.
Coordinate with management on staffing needs, scheduling, and resource allocation.
Conduct new employee onboarding and ongoing training programs.
Maintain advanced expertise in Medicare guidelines, payer policies, and regulatory changes.
Prepare reports and analysis on team performance, trends, and operational metrics for management review.
Maintain patient confidentiality and comply with HIPAA guidelines.
Complete assigned compliance training and other education programs as required.
Maintain compliance with AdaptHealth's Compliance Program.
Perform other related duties as assigned.
Competency, Skills and Abilities
Appropriately interact with patients, referral sources, and staff.
Decision making.
Analytical and problem‑solving skills with attention to detail.
Strong verbal and written communication.
Excellent customer service and telephone service skills.
Proficient computer skills and knowledge of Microsoft Office.
Prioritize and manage multiple tasks.
Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Work independently and follow detailed directives.
Learn new technologies and possess the technical aptitude required to understand flow of data through systems and system interaction.
Education and Experience Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, Business Administration, or related field preferred.
Related experience in healthcare administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
Exact job experience in health care organization, pharmacy that routinely bills insurance or provides Diabetics, Medical Supplies, HME, Pharmacy or healthcare (Medicare certified) services.
Experience Levels
Entry Level/ 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.
Physical Demands and Work Environment
Extended sitting at computer workstations with repetitive keyboard use; occasional standing, bending, and lifting to 10 pounds.
Professional office setting with variable stress levels during authorization deadlines, appeals processes, and urgent patient authorization needs.
Proficiency with computers, office equipment, payer portal systems, and healthcare software applications.
Sustained concentration, diligence, and ability to manage confidential patient and insurance information with discretion.
Professional verbal and written communication skills for payer interactions and healthcare provider coordination at all organizational levels.
Ability to work independently with minimal supervision and availability for extended hours when required.
Mental alertness to perform the essential functions of the position.
#J-18808-Ljbffr