Customer Service Specialist

🔥 7 minutes ago

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• 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 handle stressful situations with compassion and empathy • Flexible with the actual work and the hours of operation • Utilize company provided tools to maintain quality.

🎯 Requirements

• 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 • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.