AdaptHealth
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Intake Specialist
role at
AdaptHealth
1 week ago Be among the first 25 applicants
Description AdaptHealth provides 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 the quality of patients’ lives, 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 and communication. Schedules can vary based on the needs of the branch.
The lead specialist serves as a subject‑matter expert, conducts new hire training, and mentors the team.
Essential Functions And Job Responsibilities
Accurately enters referrals within the allotted timeframe, meeting productivity and quality standards.
Communicates with referral sources, physicians, and associated staff to ensure documentation is routed appropriately.
Works with leadership to ensure appropriate inventory/services are provided.
Communicates with patients regarding financial responsibility, collects payment, and documents it in the patient record.
For non‑Medicaid patients, communicates regarding documentation and payer guidelines.
Reviews medical records for non‑sales assisted referrals to ensure compliance standards are met prior to service rendering.
Follows company philosophies and procedures to ensure appropriate shipping methods for delivery of service.
Answers phone calls in a timely manner and assists callers.
Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.
Works with community referral sources to obtain compliant documentation in a timely manner.
Contacts patients when documentation does not meet payer guidelines, provides updates, and offers additional options.
Works with the sales team to obtain necessary documentation and support referral source relationships.
Must navigate multiple online EMR systems to obtain applicable documentation.
Works with the insurance verification team to ensure all needs are met for accurate patient information and payment.
Assumes 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, providing 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 for management review.
Maintain patient confidentiality and operate within HIPAA guidelines.
Complete assigned compliance training and other education programs.
Maintains compliance with AdaptHealth’s Compliance Program.
Performs other related duties as assigned.
Competency, Skills And Abilities
Appropriately interacts with patients, referral sources, and staff.
Decision making and analytical/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.
Prioritizes and manages multiple tasks.
Applies common sense understanding to carry out instructions.
Works independently and follows detailed directives.
Learns new technologies and understands data flow through systems.
Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, business administration, or related field preferred.
Related experience in health‑care administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry.
Exact job experience in a health‑care organization, pharmacy that routinely bills insurance, or provides diabetes, medical supplies, HME, pharmacy, or Medicare‑certified services.
Education and Experience Requirements:
Specialist Level – Entry Level: One (1) year of work‑related experience.
Senior Level: One (1) year of work‑related experience plus two (2) years of exact job experience.
Lead Level: One (1) year of work‑related experience plus four (4) years of exact job experience.
Physical Demands And Work Environment
Extended sitting at a computer workstation with repetitive keyboard use; occasional standing, bending, and lifting up 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 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.
Referrals increase your chances of interviewing at AdaptHealth by 2x
Get notified about new Intake Specialist jobs in
Raleigh, NC .
#J-18808-Ljbffr
Intake Specialist
role at
AdaptHealth
1 week ago Be among the first 25 applicants
Description AdaptHealth provides 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 the quality of patients’ lives, 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 and communication. Schedules can vary based on the needs of the branch.
The lead specialist serves as a subject‑matter expert, conducts new hire training, and mentors the team.
Essential Functions And Job Responsibilities
Accurately enters referrals within the allotted timeframe, meeting productivity and quality standards.
Communicates with referral sources, physicians, and associated staff to ensure documentation is routed appropriately.
Works with leadership to ensure appropriate inventory/services are provided.
Communicates with patients regarding financial responsibility, collects payment, and documents it in the patient record.
For non‑Medicaid patients, communicates regarding documentation and payer guidelines.
Reviews medical records for non‑sales assisted referrals to ensure compliance standards are met prior to service rendering.
Follows company philosophies and procedures to ensure appropriate shipping methods for delivery of service.
Answers phone calls in a timely manner and assists callers.
Demonstrates expert knowledge of payer guidelines and reads clinical documentation to determine qualification status and compliance for all equipment and services.
Works with community referral sources to obtain compliant documentation in a timely manner.
Contacts patients when documentation does not meet payer guidelines, provides updates, and offers additional options.
Works with the sales team to obtain necessary documentation and support referral source relationships.
Must navigate multiple online EMR systems to obtain applicable documentation.
Works with the insurance verification team to ensure all needs are met for accurate patient information and payment.
Assumes 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, providing 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 for management review.
Maintain patient confidentiality and operate within HIPAA guidelines.
Complete assigned compliance training and other education programs.
Maintains compliance with AdaptHealth’s Compliance Program.
Performs other related duties as assigned.
Competency, Skills And Abilities
Appropriately interacts with patients, referral sources, and staff.
Decision making and analytical/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.
Prioritizes and manages multiple tasks.
Applies common sense understanding to carry out instructions.
Works independently and follows detailed directives.
Learns new technologies and understands data flow through systems.
Requirements
High school diploma or equivalent required; Associate’s degree in healthcare administration, business administration, or related field preferred.
Related experience in health‑care administrative, financial, or insurance customer services, claims, billing, call center, or management, regardless of industry.
Exact job experience in a health‑care organization, pharmacy that routinely bills insurance, or provides diabetes, medical supplies, HME, pharmacy, or Medicare‑certified services.
Education and Experience Requirements:
Specialist Level – Entry Level: One (1) year of work‑related experience.
Senior Level: One (1) year of work‑related experience plus two (2) years of exact job experience.
Lead Level: One (1) year of work‑related experience plus four (4) years of exact job experience.
Physical Demands And Work Environment
Extended sitting at a computer workstation with repetitive keyboard use; occasional standing, bending, and lifting up 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 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.
Referrals increase your chances of interviewing at AdaptHealth by 2x
Get notified about new Intake Specialist jobs in
Raleigh, NC .
#J-18808-Ljbffr