AdaptHealth

Compensation

Full Description

Note: The job is a remote job and is open to candidates in USA. AdaptHealth is a company focused on revenue cycle management, and they are seeking a Lead, Revenue Cycle Management Specialist. This role involves providing leadership oversight to RCM teams, mentoring staff, handling escalated inquiries, and identifying trends to improve processes within the department. Responsibilities • Mentors guide and provide oversight assistance to the team. The majority of AdaptHealth RCM team members are located offshore. • Applying subject expertise in evaluating business operations and processes. • Identifying areas where technical solutions would improve business performance. • Consulting across teams, providing mentorship, and contributing specialized knowledge. • Demonstrated various techniques and documentation to streamline the production process. • Identify team members' strengths and opportunities and report findings to supervisors • Respond to internal inquiries for coaching assistance via the subject matter expert queue, office communicator, and email • Assume responsibility for resolving team member escalations by working with multiple business partners while consistent communication is present with the member • Coach others on how to navigate through systems to find information needed for calls • 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 • Performed ad hoc deep-dive analyses for specific business problems. • Training and development of team members to ensure AdaptHealth policy and protocol are being followed. • Take escalated phone calls that cannot be effectively resolved by team members. • 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. • Handle all insurance payer disputes that are filtered into the department. • Identify trends and root causes related to inaccurate insurance billing, and report to the manager while resolving account errors. • Assists in conducting team meetings to educate on insurance guidelines, claim denials, and re-training efforts on accounts incorrectly worked. • Develops and enhances the process and payer-specific work job aids and standard operating procedures. • Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account. • Provides quality payer feedback to other AdaptHealth leadership. • Develop and maintain a working knowledge of current AdaptHealth products and services offered by the company. • Maintain patient confidentiality and function within the guidelines of HIPAA. • Completes assigned compliance training and other educational programs as required. • Maintains compliance with AdaptHealth’s Compliance Program. • Perform other related duties as assigned. Skills • Three (3) years related work experience in health care administrative, financial, insurance, customer services, claims, billing, call center, or management regardless of industry required • Two (2) exact job experience in HME, Diabetic, home medical supplies, Pharmacy, HH environment is preferred • Exact job experience is considered any of the above tasks in a Medicare-certified HME, IV, or HH environment that routinely bills insurance • Decision Making • Strong analytical and problem-solving skills with attention to detail • Excellent verbal and written communication • Excellent customer service skills • Proficient computer skills and knowledge of Microsoft Office • Ability to prioritize and manage multiple projects • 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 • Understanding and identifying priority orders • Extensive knowledge of products offered and the required paperwork to ensure we can bill for those products • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form • Associated degree preferred • Two (2) exact job experience in HME, Diabetic, home medical supplies, Pharmacy, HH environment is preferred Education Requirements • High School Diploma required; Associated degree preferred Company Overview • AdaptHealth is a provider of home healthcare equipment, medical supplies to the home and related services in the United States. It was founded in 2012, and is headquartered in Phoenixville, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is https://www.adapthealth.com/.