Lead, RCM Specialist
About the Company
AdaptHealth offers 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.
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
The Lead RCM Specialist serves as a subject matter expert in insurance accounts receivable while providing leadership and guidance domestically and globally. This role is the best fit for someone who enjoys dissecting trends, problem-solving, mentoring teams and driving operational improvements.
Responsibilities
- Provide day-to-day oversight, coaching, and mentorship to domestic and offshore RCM team members
- Serve as the subject matter expert for payer AR, handling complex escalations and insurance disputes
- Monitor team performance, identify skill gaps, and support training and development initiatives
- Analyze payer trends, denial patterns, and workflow gaps; implement process improvements to optimize outcomes
- Collaborate with leadership and cross-functional teams to improve billing accuracy and reduce rework
- Develop and maintain SOPs, job aids, and training materials to standardize processes
- Conduct deep-dive analyses and provide reporting insights to support business decisions
- Support onboarding and ongoing education of team members on systems, workflows, and payer guidelines
- Resolve escalated billing inquiries from patients and insurance providers with a focus on accuracy and service excellence