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Customer Service Specialist

🔥 33 minutes ago

🇺🇸 United States – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

Where this job comes from

Posted on AdaptHealth's careers page, not through a job board

First seen by Remote Rocketship 33 minutes ago

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.

📋 Description

• Develop and maintain working knowledge of current products and services offered by the company • Answer inbound calls and emails and make outbound calls in a timely manner • Document call information according to standard operating procedures • Answer questions about products, services, retail stores, general service line information, and other customer needs • Process orders, route calls, and follow up on customer calls • Review documentation for accuracy • Process, verify, and/or submit documentation and orders • Complete insurance verification for 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 documentation • Enter and review pertinent information in the EMR system, including authorizations and expiration dates • Communicate with Customer Service and Management about trends with insurance companies • 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 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 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 • General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred • Ability to navigate multiple online EMR systems • 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 learn new technologies and understand data flow through systems and system interaction • Ability to work independently and as part of a group • Ability to adapt and be flexible in a rapidly changing environment • AdaptHealth is an equal opportunity employer

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