AdaptHealth
Customer Service Specialist
Join to apply for the
Customer Service Specialist
role at
AdaptHealth
Overview 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 Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. They work in a fast‑paced environment answering inbound calls and making outbound calls. They obtain, analyze, and verify the accuracy of information received from referrals, create orders, and schedule the patient to receive equipment as ordered by their doctor. They also educate patients on their financial responsibility when 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 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; if not, request the new carrier is entered
Contact 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
Pay attention to detail and have great 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
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
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.
Seniority level Entry level
Employment type Full‑time
Job function Other
Industries Hospitals and Health Care
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Customer Service Specialist
role at
AdaptHealth
Overview 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 Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. They work in a fast‑paced environment answering inbound calls and making outbound calls. They obtain, analyze, and verify the accuracy of information received from referrals, create orders, and schedule the patient to receive equipment as ordered by their doctor. They also educate patients on their financial responsibility when 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 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; if not, request the new carrier is entered
Contact 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
Pay attention to detail and have great 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
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
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.
Seniority level Entry level
Employment type Full‑time
Job function Other
Industries Hospitals and Health Care
#J-18808-Ljbffr