
AdaptHealth
Remote Jobs
Empowering patients to live their best lives
67 Jobs
• Develop and implement strategies to ensure IT systems align with regulatory requirements, industry standards, and best practices. • Provide strategic direction to the IT compliance team to achieve organizational objectives effectively. • Oversee compliance with applicable regulations including SOX, HIPAA/HITECH, and other industry-specific standards. • Stay abreast of regulatory changes and assess their impact on IT operations, initiating necessary adjustments to maintain compliance. • Partner with Internal Audit, Finance, Legal, and external auditors to support IT compliance program objectives, audit readiness, and regulatory reporting requirements. • Develop, review, and enforce IT policies, procedures, and standards to mitigate risks and ensure compliance with regulatory requirements. • Collaborate with legal and other departments to ensure alignment with corporate governance objectives. • Conduct risk assessments to identify potential vulnerabilities and gaps in IT compliance. • Develop and implement mitigation strategies to address identified risks and ensure the integrity and security of IT systems and data. • Manage the end-to-end IT audit lifecycle, including SOX ITGC and SOC 2 Type II cycles. • Coordinate audit activities and drive timely remediation of findings. • Develop and deliver training programs to increase awareness of IT compliance requirements across the organization. • Foster a culture of compliance by educating employees on their roles and responsibilities in maintaining IT security and regulatory adherence. • Evaluate and monitor the compliance of vendors and third-party service providers with contractual and regulatory requirements. • Establish processes for vendor risk management and ensure compliance throughout the vendor lifecycle. • Develop and implement incident response procedures to address IT compliance breaches promptly. • Lead investigations into compliance incidents, identify root causes, and implement corrective actions to prevent recurrence.
• Review, analyze, and validate clinical documentation to ensure payer compliance and billing readiness • Collect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizations • Resolve pending revenue by reconciling documentation with outstanding charges • Request and track prior authorizations, including coordination with state Medicaid programs • Identify documentation trends or recurring issues and proactively escalate and educate internal teams and provider offices • Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance regulations • Generate and manage electronic documentation requests to physicians and insurance companies • Communicate with physician offices and payers to obtain missing or incomplete documentation • Collaborate with AdaptHealth sales, support, and customer service teams to support timely billing • Maintain and update physician databases to ensure accurate communication and document delivery • Serve as backup support for customer service inquiries as needed • Meet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culture • Perform all other duties as assigned
• Review, analyze, and validate clinical documentation to ensure payer compliance and billing readiness • Collect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizations • Resolve pending revenue by reconciling documentation with outstanding charges • Request and track prior authorizations, including coordination with state Medicaid programs • Identify documentation trends or recurring issues and proactively escalate and educate internal teams and provider offices • Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance regulations • Generate and manage electronic documentation requests to physicians and insurance companies • Communicate with physician offices and payers to obtain missing or incomplete documentation • Collaborate with AdaptHealth sales, support, and customer service teams to support timely billing • Maintain and update physician databases to ensure accurate communication and document delivery • Serve as backup support for customer service inquiries as needed • Meet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culture • Perform all other duties as assigned
• Perform full-lifecycle recruitment including sourcing, screening, interviewing, negotiating and extending offers. • Establish partnership with Hiring Managers to lead full life cycle recruiting efforts. • Source active and passive qualified talent, developing and implementing innovative sourcing strategies for hard to fill positions including direct sourcing and internet recruitment. • Conduct interviews and provide Hiring Managers with detailed notes. • In partnership with HR and Hiring Managers manage the offer process. • Coordinate all necessary qualification and background checks for applicants. • Manage candidate activity within the Applicant Tracking System. • Help maintain critical reporting and tracking metrics. • Serve as a strategic Recruiter / talent advisor by actively establishing a collaborative relationship with business leaders by providing recommendations and talent insights using deep technical acuity, market knowledge, and a strong network. • Maintain patient confidentiality and function within the guidelines of HIPAA.
• Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance prior to service delivery • Communicate with patients regarding financial responsibility, collect payments when applicable, and document interactions accurately • Contact patients when documentation does not meet payer requirements, providing updates and alternative options to support timely care • Work with referral sources, physicians, and clinical teams to obtain complete and compliant documentation • Demonstrate expert knowledge of payer requirements to ensure services are provided appropriately and in compliance • Maintain accurate, timely documentation of patient information and communications using electronic systems • Accurately enter referrals within established timeframes while meeting productivity and quality standards • Coordinate with leadership to ensure appropriate inventory and services are selected and scheduled • Work closely with sales, insurance verification, and internal support teams to facilitate the referral and intake process • Navigate multiple EMR and online systems to obtain and manage documentation. • Ensure appropriate shipping and delivery methods are selected in accordance with company procedures • Answer incoming calls promptly and provide professional assistance to patients and referral sources • Participate in on-call rotation during non-business hours in accordance with company policy • Support team operations and quality standards by following company policies and procedures • Performs other related duties as assigned
• Lead, inspire, motivate, and develop the operational management team by establishing priorities and goals that lead to a unified culture and outstanding customer satisfaction. • Help with operations strategic planning, strategy execution, and implementation of standardized processes and procedures to produce predictable high-quality financial outcomes. • Ensure scalable but nimble department structure that supports the organization’s growth plan. • Identify process improvement opportunities by developing a firm understanding of client workflows, best practices, and current bottlenecks. • Develop Operation KPIs that allow benchmarking for operational targets. • Partner with finance and RCM teams to evaluate collection capabilities and adherence to payer contracts. • Work with Chief Operating Officer to determine the best strategy for prospecting new National Accounts. • Responsible for achieving profitable growth, clinical excellence, and regulatory compliance through effective leadership. • Drive collaboration across the organization to identify needs and develop scalable solutions. • Prioritize objectives and implement strategies to achieve company initiatives as part of the leadership team. • Directly and indirectly manage staff with the goal of enhancing professional development and personal growth. • Demonstrate situational agility and the ability to forecast trends and then train and lead teams in new directions to support sustainable growth. • Works with Chief Operating Officer on strategic approaches for referral generation for long-term sustainable progress and growth. • Ensure compliance with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. • Promote the mission, vision, and values of the organization. • Develop and maintain working knowledge of current HME products and services offered by the company. • Maintain patient confidentiality and function within the guidelines of HIPAA. • Complete assigned compliance training and other educational programs as required. • Maintain compliance with AdaptHealth’s Compliance Program. • Perform other related duties as assigned. • Responsible for selection and hiring of qualified staff, ensuring an effective on-boarding, and providing comprehensive training and regular feedback. • Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards.
• Provide respiratory patient care virtually and over the phone for Vent patients for optimal outcomes. • Maintain accurate clinical records and completing virtual assessments. • Identify patient exceptions that need additional review and consultation based on criteria/compliance. • Provide ongoing education and care to the patient and/or caregivers. • Collaborate with multidisciplinary teams across the organization to ensure extraordinary care to the patient and referral source.
• Provide ongoing education and care to the patient and/or caregivers • Report recommendations back to the branch location • Collaborate with multidisciplinary teams across the organization to ensure extraordinary care • Uses clinical expertise in evaluating both invasive and non-invasive ventilator patients in a virtual setting • Ability to demonstrate and instruct on use of ventilator units and supplies
• Responsible for maintaining the process and timely response to billing compliance audits conducted by Medicare, Medicaid, and commercial health plans. • Analyze health plan reimbursement policies for coverage and documentation requirements. • Ensure patient file documentation for completeness and accuracy. • Initiate and respond to inquiries regarding obtaining additional supporting medical necessity documentation. • Log and report all received audit inquiries. • Retrieve documentation for audits. • Contact various teams to obtain additional supporting documents. • Review documentation for audit purposes and report any issues.
• Responsible for oversight of Intake staff • Works as a liaison between all departments within the region to improve processes and efficiencies • Manages activities related to referral processing for all service lines • Obtains applicable medical documentation, collects patient financial responsibility, and ensures accurate entry into relevant applications • Ensures staff is appropriately trained to achieve departmental standards and goals
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