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Customer Service Specialist

Boston, MA | Full Time
17 Days Ago

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 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 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
  • 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 company’s 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 “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 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, call center regardless of industry.

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 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.

Skills for Customer Service Specialist

The job skills required for Customer Service Specialist include Customer Service, Problem Solving, Call center, Products and Services, Billing,and Attention to Detail etc. Having related job skills and expertise will give you an advantage when applying to be a Customer Service Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Customer Service Specialist. Select any job title you are interested in and start to search job requirements.

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Career Path for Customer Service Specialist

The following is the career advancement route for Customer Service Specialist positions, which can be used as a reference in future career path planning. As a Customer Service Specialist, it can be promoted into senior positions as a Customer Service Team Leader that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Customer Service Specialist. You can explore the career advancement for a Customer Service Specialist below and select your interested title to get hiring information.

How to Become a Customer Service Specialist

If you are interested in becoming a Customer Service Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Customer Service Specialist for your reference.

Step 1 Understand the job description and responsibilities of a Customer Service Specialist

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Step 2 Knowing the best tips for becoming a Customer Service Specialist can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

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Step 3 View the best colleges and universities for Customer Service Specialist

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