AdaptHealth
Overview
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. Customer Service Specialist
is responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialist works 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. The role includes educating patients about their financial responsibility where applicable. Job Duties
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 Must be able to 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, if not request the new carrier is entered Responsible for contacting patient when documentation received 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 Pays attention to detail and has great organizational skills Actively listens to patients and handles stressful situations with compassion and empathy Flexible with the actual work and the hours of operation Utilize company provided tools to maintain quality. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS and “How-To” documents Competency, Skills And Abilities
Excellent customer service skills Analytical and problem-solving skills with attention to detail Decision Making Excellent ability to communicate both verbally and in writing Ability to prioritize and manage multiple tasks Proficient computer skills and knowledge of Microsoft Office Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred Work well independently and as part of a group Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team Requirements
Minimum Job Qualifications: High School Diploma or equivalent One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of 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 certified. 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. Details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care Referrals increase your chances of interviewing at AdaptHealth by 2x Get notified about new Customer Service Specialist jobs in Brentwood, TN. Additional related roles: Inbound Customer Service Agent – Consumer Relations (Remote) Customer Service Representative - Work From Home (Bartlett, TN) After hours Customer Care Representative I Customer Service Representative - State Farm Agent Team Member Contact Center Representative (Nashville, TN) Work at Home Customer Service Agent (Full-Time & Part-Time) (TN)
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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. Customer Service Specialist
is responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialist works 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. The role includes educating patients about their financial responsibility where applicable. Job Duties
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 Must be able to 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, if not request the new carrier is entered Responsible for contacting patient when documentation received 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 Pays attention to detail and has great organizational skills Actively listens to patients and handles stressful situations with compassion and empathy Flexible with the actual work and the hours of operation Utilize company provided tools to maintain quality. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI, PECOS and “How-To” documents Competency, Skills And Abilities
Excellent customer service skills Analytical and problem-solving skills with attention to detail Decision Making Excellent ability to communicate both verbally and in writing Ability to prioritize and manage multiple tasks Proficient computer skills and knowledge of Microsoft Office Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred Work well independently and as part of a group Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team Requirements
Minimum Job Qualifications: High School Diploma or equivalent One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of 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 certified. 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. Details
Seniority level: Entry level Employment type: Full-time Job function: Other Industries: Hospitals and Health Care Referrals increase your chances of interviewing at AdaptHealth by 2x Get notified about new Customer Service Specialist jobs in Brentwood, TN. Additional related roles: Inbound Customer Service Agent – Consumer Relations (Remote) Customer Service Representative - Work From Home (Bartlett, TN) After hours Customer Care Representative I Customer Service Representative - State Farm Agent Team Member Contact Center Representative (Nashville, TN) Work at Home Customer Service Agent (Full-Time & Part-Time) (TN)
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