Insurance Operations Manager Jobs in Walhalla, SC

Description

 AdaptHealth Opportunity - Apply Today!

About AdaptHealth

At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives - beyond the hospital and at home.

With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care. 

If you're passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.

The Adapt Difference

Commitment to Our People - Support, Development, and Advancement Opportunities

Competitive Compensation and Incentives

Comprehensive Total Rewards & Benefits

Industry-Leading Care & Innovation

Responsible Environmental Stewardship

About the Role

Operations Manager

The Manager of Operations oversees the operations performed within a branch. Specifically, providing leadership, guidance, and coordination of services to ensure the distribution of all medical equipment, supplies and services delivered to a patient's home accurately and on-time. Collaboration with leadership, health systems, hospice partners and key community referral sources to improve patient services. The Manager of Operations may also serve as the site leader in absence of on-site leadership.

Job Duties:

• Comply with all current government regulations and professional standards respecting patient care
• Participate in educational and professional programs and/or review professional literature on an ongoing basis to maintain knowledge and competency in current and developing techniques, professional standards, and the HME products and services offered by AdaptHealth
• Oversees timely and efficient execution of all branch operations including Delivery, Warehouse, Logistics and Respiratory staff (with appropriate clinical supervisory support, as required)
• Ensure that the services provided via the branch location are done so in accordance with all federal, state and local laws, rules and regulations, including but not limited to those put forth by: CMS, Department of Health, DOT, FDA, OSHA, and the company's accreditation organization
• Manage logistics team providing daily direction and communication to employees so that orders are routed in a timely, efficient, and knowledgeable manner or exceed productivity and cost per delivery goals
• Ensure cost-effectiveness and delivery timeliness through selected method of delivery regarding delivery management throughout organization
• Responsible for managing inventory and working collaboratively with the department leaders to ensure that all customers receive their goods and services with a timely, efficient, and clinically safe manner
• Control inventory at the branch level. Place purchase orders in accordance with company restocking protocol
• Addresses service concerns, identifies trends and reacts accordingly
• Work with regional and department leadership to resolve concerns and to improve the patient experience
• Responsible for root cause analysis and problem resolution for all operations reviewing trends of customer service failures, determines root cause analysis, and implements appropriate communication / measures for improvements
• Maintain rapport with ordering physicians and referral sources. Inform the physicians and pertinent others of the changes in the patient's condition through visit reports and telephone communication
• Conduct consistent communication with regional and departmental leadership throughout organization to review delivery resources to maintain the organizational goals and metrics for patient care, safety, personnel, and maintenance
• Works with others to ensure initial and ongoing training occurs regularly with return demonstration and accountability as evidenced by achieving operational and regulatory audit goals.
• Assist in resolving patient equipment problems under emergency conditions
• Assist with preventative maintenance, required service checks, and patient/environmental assessment on home respiratory equipment during scheduled visits to patients
• Other duties as assigned.

Requirements

Minimum Job Qualifications:

• An associate degree from an accredited college required, bachelor's degree preferred
• Five (5) years' experience in the HME leadership is required
• Relevant experience in health care, insurance customer services, claims, billing is preferred
• Valid and unrestricted driver's license in the state of residence

Total Rewards & Benefits Program

• Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
• 401(k) with company match
• Paid Time Off Plans including 6 paid holidays
• Employee Stock Purchase Plan
• Paid Parental Bonding Leave
• Short and Long-term Disability Insurance
• Life and AD&D Insurance
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• CVS Minute Clinic and Teledoc access
• Spousal Advantage Reimbursement Plan
• Identity Theft Protection and Legal Plan

*Applicable waiting periods apply

Requirements Disclosure

• Company conducted Background Check is required for all roles
• Company conducted Motor Vehicle Record Check is required for driving roles
• Clinical roles require valid licensure/certification, where applicable

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com 

In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: https://www.cdph.ca.gov/Programs/CEH/DFDCS/Pages/FDBPrograms/HomeMedicalDeviceRetailProgram.aspx.

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

Ready to Make an Impact? 

If you're passionate about and committed to changing lives, we want to hear from you. Apply today and take the next step in your career with AdaptHealth!