Patient Care & Insurance Specialist

AdaptHealth, LLC; Charlotte (NC); On-site; USD 32,000 - 52,000; Full time

Job summary

AdaptHealth, LLC in Charlotte, NC is seeking a Customer Service Specialist to learn and manage the front-end process for patient care. You will handle inbound and outbound calls, verify information, create orders, and help schedule equipment per physician orders.

The role emphasizes accurate documentation, insurance verification and patient education on financial responsibilities, with a focus on empathy and efficient problem solving in a fast-paced setting.

Qualifications

• High School Diploma or equivalent.
• 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.

Responsibilities

• Answer inbound calls and emails in a timely manner, in adherence to goals.
• Process orders, route calls to appropriate resource, 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’s 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.
• Meet quality assurance requirements and other key performance metrics.
• Facilitate resolution on customer complaints and problem solving.

Skills

Customer service

Analytical skills

Communication

Problem solving

Multitasking

Microsoft Office

Education

High School Diploma or equivalent

Tools

EMR systems

Microsoft Office

Job description

AdaptHealth, LLC in Charlotte, NC is seeking a Customer Service Specialist to learn and manage the front-end process for patient care. You will handle inbound and outbound calls, verify information, create orders, and help schedule equipment per physician orders.

The role emphasizes accurate documentation, insurance verification and patient education on financial responsibilities, with a focus on empathy and efficient problem solving in a fast-paced setting.