Customer Service Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Acquire and maintain up-to-date knowledge of the products and services provided by AdaptHealth.

• Respond promptly to inbound calls, outbound calls, and emails.

• Record call details in accordance with standard operating procedures.

• Address inquiries regarding products, services, retail locations, and general service-line information.

• Process orders, direct calls, and follow up on customer communications.

• Review, process, verify, and submit necessary documentation and orders.

• Conduct insurance verification to confirm eligibility, coverage, co-insurance, and deductibles.

• Obtain pre-authorization as necessary and submit physician orders to insurance providers.

• Navigate various online EMR systems to retrieve documentation.

• Input and monitor authorizations and expiration dates within the EMR system.

• Share insights on insurance trends with Customer Service and Management teams.

• Verify insurance carriers in the company's database and request additions when necessary.

• Reach out to patients when documentation fails to meet payer guidelines and assist in the referral process.

• Achieve quality assurance standards and key performance indicators.

• Address and resolve customer complaints and issues.

• Utilize company-provided resources, including authorization and insurance guidelines, fee schedules, NPI, PECOS, and instructional documents.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• One (1) year of relevant work experience in healthcare administration, financial services, insurance customer service, claims, billing, call center, or management, regardless of the industry.

• Senior level candidates must have two (2) years of related experience and one (1) year in the specific role.

• Outstanding customer service abilities.

• Strong analytical and problem-solving skills with meticulous attention to detail.

• Ability to make decisions effectively.

• Excellent verbal and written communication skills.

• Capability to prioritize and manage multiple tasks efficiently.

• Proficient computer skills and familiarity with Microsoft Office applications.

• Willingness to learn new technologies and comprehend data flow and system interactions.

• Preferred general knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements.

• Ability to work autonomously as well as collaboratively within a team.

• Flexibility and adaptability in a fast-paced, changing environment.

• Traits of compassion, empathy, accountability, proactivity, initiative, and effective teamwork.

🏝️ Benefits

• Competitive salary package.

• Comprehensive health benefits.

• Opportunities for professional development and career advancement.

• Supportive and dynamic work environment.