• 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

Role Description Group Insurance has an exciting opportunity for a Process Management Specialist to join the Business Solutions Team. The Business Solutions Team partners with Group Insurance business leaders to address complex, cross‑functional, and systemic challenges impacting the service model. The team focuses on data‑driven problem solving, risk‑aware solution design, and sustainable operational improvement aligned to our guiding principles. The Process Management Specialist is a senior individual contributor who serves as a Business Lead for high‑impact initiatives. This role independently owns and delivers work while also acting as a trusted thought partner and backup to the Business Solutions leader. Success in this role requires deep Group Insurance knowledge, strong executive presence, and the ability to influence outcomes across teams and leadership levels without formal authority. This position requires process improvement proficiency, including hands‑on experience designing, analyzing, and improving end‑to‑end processes using data‑driven and structured improvement approaches. Strong analytical, presentation, and technology‑forward skills are essential, along with the ability to collaborate closely with Business Analysts and cross‑functional partners to translate complex process challenges into clear, actionable improvements. The Employee Work Arrangement (EWA) for this role is remote, but if not East Coast based, you must be able to work Eastern Time Hours (8:00-4:00 or 9:00-5:00 ET). What you can expect: - Lead and execute initiatives addressing complex Group Insurance business challenges, from problem definition through implementation and sustainment. - Apply structured, data‑driven problem‑solving and process improvement approaches to identify root causes, evaluate solution options, and drive measurable, sustainable improvements. - Own project planning, stakeholder communications, requirements, timelines, dependencies, risks, and resource coordination across multiple initiatives. - Act as a trusted partner to Business Solutions leadership, providing coverage, continuity, and decision support as needed. - Leverage deep Group Insurance business and operational knowledge to assess impacts, risks, and downstream implications of proposed solutions. - Partner closely with Business Analysts and cross‑functional team members to translate business needs into clear requirements, insights, and recommendations. - Influence and align stakeholders across business, operations, technology, and control functions without formal authority. - Use data, analytics, and AI‑enabled tools to generate insights, identify trends, and support evidence‑based decision making. - Collaborate with subject matter experts, risk, and control partners to ensure solutions address governance expectations, including issue and error management, and regulatory requirements. - Communicate clearly and confidently with cross‑functional teams and senior leadership, translating complex analysis into concise, compelling narratives. - Model and coach best practices in problem solving, project execution, and continuous improvement. Qualifications - Lean Six Sigma or project management certification with demonstrated experience applying methodology in complex environments. (Highly preferred) - Deep knowledge of Group Insurance products, operations, and service models. - Strong project and initiative management skills, with the ability to manage multiple priorities simultaneously. - Proven ability to influence, build credibility, and drive alignment without direct authority. - Excellent presentation, storytelling, and executive communication skills. - Strong analytical capability, including the ability to interpret data and use insights to inform decisions. - Experience leveraging data, analytics, and AI capabilities to support business problem solving. - Strong interpersonal skills with a collaborative, team‑first mindset; able to build trusted relationships and work effectively within cross‑functional teams. - Positive, adaptable, and approachable working style, with the ability to balance independent ownership with shared accountability. - Sound judgment, strong attention to detail, and a commitment to delivering high‑quality, complete outcomes. - Ability to operate effectively in a fast‑paced, evolving environment. - Proficiency to expert‑level skills in Microsoft Office and Power Platform tools, including Excel, PowerPoint, Visio, Power BI, Power Automate, SharePoint, Microsoft Lists, and collaboration tools such as Miro. Benefits - Salary range for this role is from $89,000.00 to $147,000.00, varying based on geographic location, candidate experience, and skills. - Market competitive base salaries, with a yearly bonus potential at every level. - Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave. - 401(k) plan with company match (up to 4%). - Company-funded pension plan. - Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs. - Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development. - Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs. - Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period). - Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, individual and organizational performance.

• Support enterprise-wide process standardization by documenting workflows across all business units • Partner with cross-functional teams and Subject Matter Experts (SMEs) • Convert informal processes and tribal knowledge into structured documentation • Develop Standard Operating Procedures (SOPs), process maps, workflows, checklists, and playbooks • Organize, maintain, and update the knowledge repository for accurate and easy user access • Build and maintain a centralized documentation repository (SharePoint, Confluence, or similar) • Engage with teams to identify process gaps, redundancies, and inconsistencies • Regularly review and update documentation for accuracy and relevance • Train teams on how to access and use the documentation repository