Operations Specialist - Patient Facing

About the role

The Operations Specialist role supports patient care and operational excellence in our business. This role impacts patient outcomes while driving process improvements and team performance.

Responsibilities

• Support regional operations through workflow improvement, training, and process optimization
• Review and process documentation, including insurance verification, authorizations, and order accuracy
• Navigate EMR systems to enter, track, and validate patient and authorization data
• Analyze workflows, identify errors, and implement solutions to improve efficiency and quality
• Collaborate with teams and leadership to resolve issues and communicate trends
• Maintain knowledge of payer guidelines, products, and services to ensure compliance
• Aid in training materials, onboarding, and cross-functional support
• Participate in projects to refine processes and enhance operational performance
• Meet quality and performance metrics while managing multiple priorities
• Perform patient assessments and follow-ups to support care and compliance
• Ensure accurate documentation and adherence to HIPAA, PPE, and infection control standards
• Perform other duties as assigned

Qualifications

• One (1) year of relatable work experience required
• High School Diploma, Associate’s degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required
• Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
• Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is a plus but not required
• Excellent verbal and written communication skills including analytical, problem-solving and decision-making abilities with attention to detail
• Ability to multi-task in a fast-paced environment
• Proficient computer skills – Microsoft Office and healthcare systems are a plus
• Comfort learning new technologies and navigating multiple systems
• Ability to work independently while following established procedures and directives