Customer Service Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.
• No salary listed.

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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

• Learn and maintain knowledge of the company’s home medical equipment products and services • Answer inbound calls and make outbound calls and respond to emails • Obtain, analyze, and verify referral information • Create orders and schedule patients to receive doctor-ordered equipment • Educate patients about financial responsibility when applicable • Document call information according to standard operating procedures • Answer questions about products, services, retail stores, and general service-line information • Process orders, route calls, and follow up with customers • Review, process, verify, and submit documentation and orders • Complete insurance verification for eligibility, coverage, co-insurance, and deductibles • Obtain pre-authorization and submit physician orders to insurance carriers when required • Navigate multiple online EMR systems and enter pertinent information, authorizations, and expiration dates • Communicate insurance trends to Customer Service and Management • Maintain and verify insurance carrier information in the company database • Contact patients when documentation does not meet payer guidelines 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 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 • 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, analytical, problem-solving, communication, decision-making, prioritization, and multitasking skills • Ability to work independently and as part of a group • Ability to adapt and be flexible in a rapidly changing environment • Familiarity with EMR systems, insurance verification, authorizations, physician orders, and payer documentation requirements

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