Lead, RCM Specialist

At Adapt Health 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, Adapt Health 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 Adapt Health.

• Commitment to Our People – Support, Development, and Advancement Opportunities
• Competitive Compensation and Incentives
• Industry-Leading Care & Innovation

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.

• 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
• Partner cross-functionally to address account issues, reduce denials, and improve the overall patient financial experience
• Ensure compliance with HIPAA and all regulatory standards in handling patient information
• Performs other duties as assigned

• Associate’s degree preferred, High School Diploma required
• Three (3) years of related work experience in administration, financial, insurance, customer services, claims, billing, call-center, or management required
• Two (2) years of work experience in HME, diabetic, home medical supplies, pharmacy or an HH environment is preferred but not required
• Experience leading or mentoring teams
• Experience working with payer policies, AR processes, insurance billing is preferred but not required
• Ability to lead and operate in a fast-paced environment
• Ability to navigate multiple systems and understand data flow across platforms
• Strong analytical and problem-solving skills with attention to detail
• Physical Requirements
  :
  Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential function of the job. Reasonable accommodations may be made to enable individuals with disability(s) to perform the essential functions. For more detail surrounding these requirements please inquire upon application selection.

• Compensation is based on experience, location and role level

• Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
• 401(k) with company match
• Employee Stock Purchase Plan
• 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
• Identity Theft Protection and Legal Plan

* Applicable…