Customer Service Specialist

AdaptHealth; Sharon Township (OH); On-site; USD 30,000 - 50,000; Full time

Job summary

This innovative firm is seeking a dedicated Customer Service Specialist to enhance patient care through effective communication and problem-solving. In this role, you will be the vital link between patients and the services they need, ensuring that all documentation is accurate and that patients are educated about their financial responsibilities. You will thrive in a fast-paced environment, managing multiple tasks while maintaining high-quality service standards. If you are passionate about making a difference in patients' lives and possess strong analytical and customer service skills, this opportunity is perfect for you.

Qualifications

• 1 year of experience in healthcare customer service or related fields.
• High School Diploma or equivalent required.

Responsibilities

• Answer inbound and outbound calls in a fast-paced environment.
• Process orders and verify insurance documentation accurately.

Skills

Customer Service Skills

Analytical Skills

Problem-Solving Skills

Communication Skills

Organizational Skills

Flexibility

Education

High School Diploma or equivalent

Tools

Microsoft Office

EMR Systems

Job description

Description

AdaptHealth Opportunity – Apply Today!

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients’ lives, please click to apply, we would love to hear from you.

Customer Service Specialist

Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialist works in a fast-paced environment answering inbound calls and making outbound calls. May be responsible for obtaining, analyzing, and verifying the accuracy of information received from referrals, creating orders, and scheduling the patient to receive equipment as ordered by their doctor. Customer Service Specialists should educate patients about their financial responsibility when applicable.

Job Duties:

• 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 resources, 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 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 ongoing 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 to be entered
• Responsible for contacting patients 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
• Pay attention to detail and have great organizational skills
• Actively listen to patients and handle stressful situations with compassion and empathy
• Be flexible with the actual work and the hours of operation
• Utilize company-provided tools to maintain quality. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System), and “How-To” documents

Competency, Skills and Abilities:

• Excellent customer service skills
• Analytical and problem-solving skills with attention to detail
• Decision-making
• Excellent ability to communicate both verbally and in writing
• Ability to prioritize and manage multiple tasks
• Proficient computer skills and knowledge of Microsoft Office
• Solid ability to learn new technologies and possess the technical aptitude required to understand the flow of data through systems as well as system interaction
• General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
• Work well independently and as part of a group
• Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative, and work effectively on a team

Minimum Job Qualifications:

• High School Diploma or equivalent
• One (1) year of 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
• Exact job experience is considered any of the above tasks in a Medicare certified environment

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.