Customer Service Specialist

🔥 22 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 inbound calls and emails promptly and make outbound calls • Document call information according to standard operating procedures • Answer questions about products, services, retail stores, and general service line information • Process orders, route calls to appropriate resources, and follow up on customer calls • Review required documentation for accuracy • Process, verify, and/or submit documentation and orders • Complete insurance verification to determine patient eligibility, coverage, co-insurances, and deductibles • Obtain pre-authorization when required and process physician orders to insurance carriers • Navigate multiple online EMR systems to obtain applicable documentation • Enter and review pertinent information in the EMR system, including authorizations and expiration dates • Communicate with Customer Service and Management regarding trends with insurance companies • Verify insurance carriers are listed in the company database and request additions when needed • Contact patients when documentation does not meet payer guidelines, provide updates, and offer options to facilitate referrals • Meet quality assurance requirements and key performance metrics • Resolve customer complaints and problems • Use company-provided tools, including Authorization Guidelines, 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 • Proficient computer skills and knowledge of Microsoft Office • Solid ability to learn new technologies and understand flow of data through systems and system interaction • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred • 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 • Ability to work independently and as part of a group • Ability to adapt and be flexible in a rapidly changing environment • Must be patient, accountable, proactive, take initiative, and work effectively on a team