AdaptHealth
AdaptHealth Opportunity - Apply Today!
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply, we would love to hear from you.
Overview
Customer Service Specialist are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists work in a fast-paced environment answering inbound calls and making outbound calls. They may be responsible for obtaining, analyzing, and verifying the accuracy of information received from referrals, creating orders, and/or scheduling the patient to receive equipment as ordered by their doctor. They should educate patients of their financial responsibility when applicable. Responsibilities
Develop and maintain working knowledge of current products and services offered by the company Answer all calls and emails in a timely manner, in adherence to their goals Document all call information according to standard operating procedures Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs Process orders, route calls to appropriate resource, and follow up on customer calls where necessary Review all required documentation to ensure accuracy Accurately process, verify, and/or submit documentation and orders Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required Navigate through multiple online EMR systems to obtain applicable documentation Enter and review all pertinent information in EMR system including authorizations and expiration dates Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies Verify insurance carriers are listed in the company\'s database system, and request entry of new carriers if needed Contact patients when documentation does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process Meet quality assurance requirements and other key performance metrics Facilitate resolution on customer complaints and problem solving Pay attention to detail and maintain strong organizational skills Actively listen to patients and handle stressful situations with compassion and empathy Be flexible with work and hours of operation Utilize company provided tools to maintain quality (e.g., Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS) and related documents Qualifications
Excellent customer service skills Analytical and problem-solving skills with attention to detail Decision making and ability to prioritize and manage multiple tasks Excellent verbal and written communication Proficient computer skills and knowledge of Microsoft Office Ability to learn new technologies and understand data flow and system interactions General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred Work well independently and as part of a team Ability to adapt and be flexible in a rapidly changing environment; be patient, accountable, proactive, take initiative Requirements Minimum Job Qualifications High School Diploma or equivalent One (1) year of work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management (any industry) Senior level requires two (2) years of work-related experience and one (1) year of exact job experience Exact job experience is considered any of the above tasks in a Medicare setting AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of 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. Seniority level: Entry level Employment type: Full-time Job function: Customer Service Industries: Hospitals and Health Care Raleigh, NC
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Customer Service Specialist are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists work in a fast-paced environment answering inbound calls and making outbound calls. They may be responsible for obtaining, analyzing, and verifying the accuracy of information received from referrals, creating orders, and/or scheduling the patient to receive equipment as ordered by their doctor. They should educate patients of their financial responsibility when applicable. Responsibilities
Develop and maintain working knowledge of current products and services offered by the company Answer all calls and emails in a timely manner, in adherence to their goals Document all call information according to standard operating procedures Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs Process orders, route calls to appropriate resource, and follow up on customer calls where necessary Review all required documentation to ensure accuracy Accurately process, verify, and/or submit documentation and orders Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required Navigate through multiple online EMR systems to obtain applicable documentation Enter and review all pertinent information in EMR system including authorizations and expiration dates Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies Verify insurance carriers are listed in the company\'s database system, and request entry of new carriers if needed Contact patients when documentation does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process Meet quality assurance requirements and other key performance metrics Facilitate resolution on customer complaints and problem solving Pay attention to detail and maintain strong organizational skills Actively listen to patients and handle stressful situations with compassion and empathy Be flexible with work and hours of operation Utilize company provided tools to maintain quality (e.g., Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS) and related documents Qualifications
Excellent customer service skills Analytical and problem-solving skills with attention to detail Decision making and ability to prioritize and manage multiple tasks Excellent verbal and written communication Proficient computer skills and knowledge of Microsoft Office Ability to learn new technologies and understand data flow and system interactions General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred Work well independently and as part of a team Ability to adapt and be flexible in a rapidly changing environment; be patient, accountable, proactive, take initiative Requirements Minimum Job Qualifications High School Diploma or equivalent One (1) year of work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management (any industry) Senior level requires two (2) years of work-related experience and one (1) year of exact job experience Exact job experience is considered any of the above tasks in a Medicare setting AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of 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. Seniority level: Entry level Employment type: Full-time Job function: Customer Service Industries: Hospitals and Health Care Raleigh, NC
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