AdaptHealth

Director

• Lead and advance strategic partnerships with Managed Care Organizations, post-acute providers, and health systems
• Develop new business and revenue through clinical integration and market expansion
• Negotiate alternative payment mechanisms, risk-sharing, and other reimbursement tactics
• Guide cross-functional business team members across Operations, Sales, Billing, and Finance
• Ensure timely and accurate contract setup and ongoing maintenance with payors, facilities, subcontractors, and other legal entities
• Lead and assist with RFPs
• Resolve complex issues with minimal management oversight
• Serve as subject matter expert on contract and reimbursement issues affecting the home medical equipment and healthcare industries
• Manage a client portfolio to identify and deliver business opportunities and projects
• Collaborate with Audit and Compliance to maintain good standing with entities, regulations, and patients
• Evaluate and oversee TPA integration options
• Maintain knowledge of the company’s HME products and services
• Protect patient confidentiality and operate within HIPAA guidelines
• Complete compliance training and required educational programs
• Hire, onboard, train, coach, counsel, and evaluate staff
• Establish department goals and objectives aligned with organizational strategy
• Achieve organizational performance and retention goals

Director, Managed Care – Great Lakes Region

Intake Specialist

• Review medical records, clinical documentation, and payer guidelines to determine patient eligibility, qualification status, and compliance before 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
• Apply expert knowledge of payer requirements to ensure appropriate and compliant service delivery
• Maintain accurate, timely patient information and communication records using electronic systems
• Enter referrals within established timeframes while meeting productivity and quality standards
• Coordinate with leadership to ensure appropriate inventory and services are selected and scheduled
• Collaborate with sales, insurance verification, and internal support teams throughout the referral and intake process
• Navigate multiple EMR and online systems to obtain and manage documentation
• Select appropriate shipping and delivery methods according to company procedures
• Answer incoming calls promptly and provide professional assistance to patients and referral sources
• Participate in on-call rotation during non-business hours according to company policy
• Support team operations and quality standards by following company policies and procedures
• Perform other related duties as assigned