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AdaptHealth, LLC.

Patient Service Representative

AdaptHealth, LLC., High Point, North Carolina, us, 27264

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Position Summary Provides exceptional customer service by answering phone calls and ensuring patient needs are met with care and efficiency. Handles variety of call types while representing the company's commitment to quality, compassion, and support.

Essential Functions and Job Responsibilities LEVEL 1 - Patient Service Representative

Answers calls and emails in timely manner, meeting performance goals

Handles standard call types: tank requests, ETA inquiries, pick-up requests, location assistance, order status, pricing inquiries

Documents call information per standard operating procedures

Answers questions about products, services, retail stores, and general service information

Verifies insurance carriers in database system

Resolves customer complaints with problem-solving approach

Maintains working knowledge of current products and services

Adheres to HIPAA guidelines and maintains patient confidentiality

LEVEL 2 - Patient Service Representative All Level 1 duties plus:

Handles advanced call types: oxygen (O2) services, DME, insurance verification/clarification

Processes payments, orders, and returns

Troubleshoots equipment issues and provides advanced care solutions

Resolves escalated issues or hands off with clear documentation

Serves as resource to Level 1 representatives for knowledge sharing and skill development

LEVEL 3 – Lead, Patient Service Representative All Level 1 and 2 duties plus:

Serves as subject matter expert and primary resource for team

Conducts new hire training and mentors team members

Handles escalated calls and complex issues with appropriate follow-up

Identifies root causes of service issues and collaborates on process improvements

Prepares reports for leadership and other departments

Supports departmental standards and Patient Experience initiatives

Assists with task coordination and ensures adherence to workflows

Collaborates with supervisor on performance metrics and service excellence

Competency, Skills and Abilities Customer Service & Communication

Deliver exceptional customer service with empathy, patience, and professionalism

Demonstrate active listening and clear verbal/written communication skills

Effectively address patient needs, concerns, and inquiries

Technical Proficiency

Strong problem-solving and analytical thinking abilities

High attention to detail in documentation and data verification

Proficient in computers, Microsoft Office, and database systems

Excellent multitasking and prioritization in fast-paced environments

Professional Attributes

High emotional intelligence to handle stressful situations with compassion

Adaptable and flexible with changing processes and technologies

Self-motivated with ability to work independently and take initiative

Strong team collaboration and cooperative work style

Commitment to continuous learning and professional development

Healthcare Knowledge

Familiarity with Medicare, Medicaid, and commercial insurance processes (preferred)

Understanding of healthcare documentation requirements

Compliance & Confidentiality

Strict adherence to HIPAA regulations and patient confidentiality

Full compliance with company policies and referral guidelines

Requirements Education and Experience Requirements

High school diploma or equivalent required

Associate’s degree in healthcare administration, Business Administration, or related field preferred

Previous experience in healthcare, insurance, medical billing, or patient services preferred.

Knowledge of respiratory therapy or DME services preferred.

Level I: (Entry Level):

One (1) year of work-related experience

Level II:

One (1) year of work-related experience plus

Two (2) years exact job experience

Lead Level:

One (1) year of work-related experience plus

Four (4) years exact job experience

Physical Demands and Work Environment Physical Requirements

Ability to sit for extended periods with prolonged computer screen exposure

Must be able to bend, stoop, stretch, stand, and move between sitting/standing positions

Perform repetitive hand, wrist, and finger motions due to extensive computer and phone use

Occasional lifting of 5-10 pounds as needed

Clear speech, hearing ability, and manual dexterity required

Work Environment

High-volume call center environment with fluctuating stress levels

Extended computer and telephone use throughout workday

Potential exposure to angry or upset customers/patients

Possible exposure to hazardous materials, loud noise, temperature extremes

Risk of contact with airborne, bloodborne, or other infectious pathogens

Mental and Communication Demands

Maintain mental alertness to perform essential job functions

Demonstrate empathy, compassion, courtesy, and respect for patient privacy

Effective verbal and written communication skills required

Schedule Requirements

Flexible scheduling to support business hours and after-hours programs as needed

Adaptability to varying work levels and office activity fluctuations

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