AdaptHealth
Join to apply for the
Customer Service Specialist
role at
AdaptHealth
3 days ago – Be among the first 25 applicants
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 and would love to hear from you if you are passionate about making a profound impact on the quality of patients’ lives.
Job Type Full-time
Customer Service Specialist – Overview 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, obtaining, analysing, 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 also 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 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 resources, 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 multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in the EMR system including authorizations and expiration dates
Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in the company’s database system, and request new carrier entries when necessary
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 exhibit strong organizational skills
Actively listen to patients and handle stressful situations with compassion and empathy
Be flexible with the actual work and the hours of operation
Utilize company‑provided tools to maintain quality, including 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 verbal and written communication skills
Ability to prioritize and manage multiple tasks
Proficient computer skills and knowledge of Microsoft Office
Solid ability to learn new technologies and understand data flow through systems
General knowledge of Medicare, Medicaid, and commercial health plan methodologies and documentation requirements preferred
Work well independently and as part of a group
Adaptability and flexibility in a rapidly changing environment, patience, accountability, proactivity, initiative, and teamwork
Requirements
High School Diploma or equivalent
One (1) year work‑related experience in healthcare 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 environment
Salary Description $16 and above based on experience
Seniority Level Entry level
Employment Type Full‑time
Job Function Other
Industries Hospitals and Health Care
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.
Contact Get notified about new Customer Service Specialist jobs in
Murray, KY .
#J-18808-Ljbffr
Customer Service Specialist
role at
AdaptHealth
3 days ago – Be among the first 25 applicants
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 and would love to hear from you if you are passionate about making a profound impact on the quality of patients’ lives.
Job Type Full-time
Customer Service Specialist – Overview 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, obtaining, analysing, 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 also 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 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 resources, 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 multiple online EMR systems to obtain applicable documentation
Enter and review all pertinent information in the EMR system including authorizations and expiration dates
Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies
Verify insurance carriers are listed in the company’s database system, and request new carrier entries when necessary
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 exhibit strong organizational skills
Actively listen to patients and handle stressful situations with compassion and empathy
Be flexible with the actual work and the hours of operation
Utilize company‑provided tools to maintain quality, including 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 verbal and written communication skills
Ability to prioritize and manage multiple tasks
Proficient computer skills and knowledge of Microsoft Office
Solid ability to learn new technologies and understand data flow through systems
General knowledge of Medicare, Medicaid, and commercial health plan methodologies and documentation requirements preferred
Work well independently and as part of a group
Adaptability and flexibility in a rapidly changing environment, patience, accountability, proactivity, initiative, and teamwork
Requirements
High School Diploma or equivalent
One (1) year work‑related experience in healthcare 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 environment
Salary Description $16 and above based on experience
Seniority Level Entry level
Employment Type Full‑time
Job Function Other
Industries Hospitals and Health Care
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.
Contact Get notified about new Customer Service Specialist jobs in
Murray, KY .
#J-18808-Ljbffr