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Customer Service Specialist

🔥 1 hour ago

🇺🇸 United States – Remote

⏱ Part Time

🟢 Junior

đź’ť Customer Support

🚫👨‍🎓 No degree required

đź‘» Ghost score 10%

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Logo of AdaptHealth

AdaptHealth

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.

đź“‹ Description

• Learn and maintain working knowledge of current company products and services • Answer inbound calls, outbound calls, and emails in a timely manner • Document call information according to standard operating procedures • Answer questions about products, services, retail stores, and general service line information • Process orders and route calls to appropriate resources • Follow up on customer calls where necessary • Review documentation for accuracy • Process, verify, and submit documentation and orders • Complete insurance verification for eligibility, coverage, co-insurances, and deductibles • Obtain pre-authorization and process physician orders for insurance approval when required • Navigate online EMR systems to obtain documentation • Enter and review authorizations and expiration dates in the EMR system • Communicate insurance trends to Customer Service and Management • Verify insurance carriers in the company database and request additions when needed • Contact patients when documentation does not meet payer guidelines and provide updates or additional options • Meet quality assurance requirements and key performance metrics • Resolve customer complaints and problems • Educate patients about financial responsibility when applicable • Use company-provided tools, including authorization and insurance guidelines, fee schedules, NPI, PECOS, and how-to documents

🎯 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 • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience • Excellent customer service skills • Analytical and problem-solving skills with attention to detail • Excellent verbal and written communication skills • Ability to prioritize and manage multiple tasks • Proficient computer skills and knowledge of Microsoft Office • Technical aptitude to understand data flow through systems and system interaction • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred • Ability to work independently and as part of a group • Ability to adapt and be flexible in a rapidly changing environment • Ability to navigate multiple online EMR systems • Ability to work flexible hours of operation

🏖️ Benefits

• Part-time employment • Equal opportunity employment and nondiscrimination protections

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