Apply Now: Customer Service Specialist
Key Job Details:Position: Customer Service SpecialistLocation: RemoteStart Date: Immediate openings availableCompensation: a competitive salaryCompany: Workwarp  Apply
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 Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor. Customer Service Specialists should educate Patients of 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 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 patientÂs 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 on-going basis regarding any noticed trends with insurance companies
 Verify insurance carriers are listed in the companyÂs database system, if not request the new carrier is entered
 Responsible for contacting patient 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
 Pays attention to detail and has great organizational skills
 Actively listens to patients and handle stressful situations with compassion and empathy
 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 ÂHow-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 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
Requirements
Minimum Job Qualifications:
 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.
 Exact job experience is considered any of the above tasks in a Medicare certified.
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individualÂs 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.
Salary Description
Starting at $18.00 per hour Apply Job! Are You the One We're Looking For?If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.
Apply Now
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 Specialists works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor. Customer Service Specialists should educate Patients of 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 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 patientÂs 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 on-going basis regarding any noticed trends with insurance companies
 Verify insurance carriers are listed in the companyÂs database system, if not request the new carrier is entered
 Responsible for contacting patient 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
 Pays attention to detail and has great organizational skills
 Actively listens to patients and handle stressful situations with compassion and empathy
 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 ÂHow-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 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
Requirements
Minimum Job Qualifications:
 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.
 Exact job experience is considered any of the above tasks in a Medicare certified.
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individualÂs 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.
Salary Description
Starting at $18.00 per hour Apply Job! Are You the One We're Looking For?If you believe you have what it takes, submit your application without delay. We are keen to hear from talented candidates like you.
Apply Now