Jobs in Hickory Creek Texas Remote

Position Summary:

The Operations Specialist is a non-driving position responsible for supporting the Operations Team through multiple tasks required for the successful support of each region’s individual needs. 

The lead specialist serves as a subject matter expert, conducts new hire training and mentor to the team.

Essential Functions and Job Responsibilities:

• Supports operations team with discovery and training as necessary with AdaptHealth processes.
• Responsible for providing support during process improvement initiatives to assist with driving all areas of workflow, including verification, and data analysis.
• Develop and maintain working knowledge of current products and services offered by the company
• Must be familiar with payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.
• Working knowledge in all areas of AdaptHealth customer service, intake, daily operations and revenue cycle processes and workflows from beginning to end, which may include

1. Review all required documentation to ensure accuracy
2. Accurately process, verify, and/or submit documentation 
3. Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles
4. Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required (if helping a region)
5. Navigate through multiple online EMR systems to obtain applicable documentation
6. Enter and review all pertinent information in EMR system including authorizations and expiration dates
7. Meet quality assurance requirements and other key performance metrics

• Pays attention to detail and has great organizational skills
• Actively listens to teams, region leaders and handle stressful situations with compassion and empathy.
• Ability to analyze data and reports to identify execution errors in workflow, troubleshoot and fix the exceptions, advise staff on corrections.
• Collaborate with the Operations Team on exceptions and solutions within workflow processes
• Communicate with operations teams and leadership on an on-going basis regarding any noticed trends in process errors with insurance companies
• Assist with various projects and tasks as needed for various unique processes
• Participate in the effort to define, document, and refine processes, procedures and workflows for business operations based on industry and company best-practices.
• Participate in the effort to create training materials and train client engagement and service teams
• Must be able to navigate through multiple online EMR systems to obtain applicable documentation.
• Works with insurance verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure 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, 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 to guide team decisions
• Prepare reports and analysis on team performance, trends, and operational metrics for management review
• Maintains patient confidentiality and functions within the guidelines of HIPAA.
• Completes assigned compliance training and other education programs as required.
• Maintains compliance with AdaptHealth's Compliance Program.
• Performs other related duties as assigned.

Competency, Skills and Abilities:

• Excellent ability to communicate both verbally and in writing
• Ability to prioritize and manage multiple tasks
• Proficient computer skills and knowledge of Microsoft Office
• Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
• General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.
• Work well independently and as part of a group
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team

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 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: (Entry 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:

• Work environment will be stressful at times, as overall office activities and work levels fluctuate
• Must be able to bend, stoop, stretch, stand, and sit for extended periods of time
• Subject to long periods of sitting and exposure to computer screen
• Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use
• Ability to effectively communicate both verbally and written with internal and external customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.
• Mental alertness to perform the essential functions of position.

PI89e06f793661-3631

¿Por qué convertirte en comprador con DoorDash?

Convierte tus habilidades de compra en ingresos adicionales. Ya sea que ayudes a alguien a abastecerse de comestibles o entregues una orden de último momento de una tienda de conveniencia, como comprador desbloqueas más oportunidades de ganancias con DoorDash. Mantente activo durante las horas fuera de pico y evita esperar mientras un restaurante prepara una orden. Convertirte en comprador con DoorDash te da el control de tu tiempo y tus ganancias.

Ya sea como trabajo adicional o a tiempo completo, ser comprador con DoorDash te brinda la oportunidad de ganar dinero extra bajo tus propios términos.

• Varias formas de ganar:entrega más que solo órdenes de restaurantes. Conviértete en comprador y entrega comestibles, productos de tiendas de conveniencia, minoristas, alcohol y más. DoorDash ofrece diversas oportunidades de ganancias para que aproveches tu tiempo al máximo.
• Controla tus tiempos:gana dinero durante las horas fuera de pico para que no tengas que organizar tu día en torno a los horarios de mayor demanda del almuerzo o la cena. Cuando haces las compras, no tienes que esperar una orden.
• Sabes cuánto ganarás:un modelo de pago claro y conciso te permite conocer el monto mínimo que ganarás antes de aceptar cualquier oferta.
• Gana más:cuando haces las compras, obtienes en promedio más dinero por entrega que con una entrega de restaurante.*
• Comienzo rápido y sencillo:regístrate en minutos y sal a hacer dashes rápidamente.*

Requisitos básicos

• Mayor de 18 años** (mayor de 21 para las entregas de alcohol)
• Cualquier auto, ciclomotor o bicicleta (en algunas ciudades)
• Número de licencia de conducir
• Número del seguro social (solo en EE. UU.)
• Acceso consistente a un teléfono inteligente

Cómo convertirse en comprador

• Haz clic en “Registrarse y postularse ahora” y completa el proceso de registro.
• Descarga la aplicación Dasher de DoorDash.
• Activa tu Tarjeta roja en la aplicación Dasher.***

*Comparado con una orden de entrega de restaurante, según los pagos promedio de Dashers a nivel nacional mientras realizan entregas. Las ganancias reales pueden variar y dependen de factores como la cantidad de entregas realizadas, la hora del día, la ubicación y los gastos.

*Sujeto a elegibilidad.

**Debes ser mayor de 19 años en Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, Nueva Jersey, Nuevo Mexico, Texas, Utah y Virginia del Oeste.

***La Tarjeta roja es una tarjeta prepagada que usan los Dashers para pagar artículos en las ofertas compra y entrega. Los fondos se cargan automáticamente antes de pagar. Las Tarjetas rojas no están vinculadas a las cuentas bancarias de los Dashers ni a sus ganancias.La tarjeta es emitida por Peoples Trust Company bajo licencia de Mastercard International Incorporated. Mastercard es una marca registrada y el diseño de los círculos es una marca registrada de Mastercard International Incorporated.

Información adicional

Hacer dashes con DoorDash es una gran oportunidad de obtener ganancias para cualquier persona que busque un trabajo de entregas a medio tiempo, estacional, flexible, los fines de semana, después de la escuela, temporario o estable. Entrega con DoorDash y gana dinero extra mientras te conviertes en tu propio jefe. Haz dashes cuando más te convenga. Regístrate hoy.

• Interprets, reviews and evaluates medication orders for optimal dose, dosage form, frequency, concentration, duration, drug-drug interactions, drug-disease state interaction, drug allergy interaction, and potential cross allergenicity, taking into account the patient's special or age related needs, to ensure optimal drug therapy, high quality patient care and timely dispensing of accurate and appropriate medications.
• Dispenses medications by reviewing patient specific bulk medications and pyxis fills and refills for accuracy of the right medication, dose, dose form, strength, size, quantity to ensure accurate, timely and safe pharmaceutical care.
• Participates in process improvement teams within the department and organization to build strong relationships with staff members, demonstrates GFH core values and enhances financial viability.

• Bachelor of Science Degree in Pharmacy or Doctorate of Pharmacy from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE)
• Hospital Pharmacy experience preferred.

• Current, active license to practice pharmacy New York State; or eligible to reciprocate licensure from another state
• Pharmacy Registration in New York State

• The pharmacist needed to following:
• Communication and language skills to read analyze and interpret medication orders and information, the ability to respond appropriately to emergent situation, staff, physicians, and patient inquiries or complaints and the ability to effectively communicate important information to
• management peers and other health professionals.
• Ability to perform complex Pharmaceutical calculations and an understanding of statistical concepts such as frequency, distribution, standard deviation and variances.
• The pharmacist needs the ability to solve clinical problems related to pharmaceutical care and drug therapy.
• Knowledge of current pharmacy principles and practices
• Knowledge of computer order entry
• Knowledge of federal and state laws governing pharmacy practices
• Knowledge of regulatory requirements and standards
• Ability to work independently within established policies and procedures
• Ability to accomplish established program goals and objectives
• Ability to exercise judgment, tact, and diplomacy