![AdaptHealth corp.](https://media.trabajo.org/img/noimg.jpg)
Customer Service Specialist
2 months ago
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 work in a fast-paced environment answering inbound calls and making outbound calls. They are 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 of their financial responsibility when applicable.
Job Duties:
Develop and maintain a 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 the 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 the 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 the 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 is entered
Responsible for contacting the 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 of 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 work-related experience in health care administrative, financial, or insurance customer services, claims, billing, call center, or management regardless of the 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 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.
#J-18808-Ljbffr
-
Customer Service Specialist
7 days ago
Boston, United States BRIOHEALTH SOLUTIONS INC Full timeJob DescriptionJob DescriptionBrioHealth Solutions Inc., Inc. is seeking a skilled and self-motivated Customer Service Specialist to join our growing team. As a customer service specialist at BrioHealth Solutions Inc., you will play a crucial role in maintaining data in our CRM support system and ensuring that our customers receive exceptional support...
-
Customer Service Specialist
4 weeks ago
Boston, United States Biofourmis Full timeBiofourmis is a rapidly growing, global digital health company filled with committed, passionate professionals who care about augmenting personalized care and empowering people with complex chronic conditions to live better and healthier lives. We are pioneering an entirely new category of medicine by developing clinically validated, software-based...
-
Bilingual Customer Service Specialist
4 days ago
Boston, United States The Sherwin-Williams Company Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Customer Service Center Specialist
3 months ago
Boston, United States Keolis Commuter Services Full time** Customer Service Center Specialist** **Job Category****:** Customer Service **Requisition Number****:** CUSTO002036 Showing 1 location **Job Details** **Description** **Knowledge and Skills:** * Knowledge of general internet and data entry navigation. * Requires a minimum typing speed of 40 words per minute. * Experience in Customer Service, commercial...
-
Bilingual Customer Service Specialist
7 days ago
Boston, United States Sherwin-Williams Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Customer Service 2
1 month ago
Boston, United States Pilot Freight Service Full time** Customer Service 2** **Job Category****:** Stations-Northeast **Requisition Number****:** CUSTO03941 Showing 1 location **Job Details** **Description** **Pilot Freight Services** has an immediate opening for a full-time **Domestic** **Customer Service Agent** to work the day shift in our **Boston, MA office**. This position will provide quality customer...
-
Bilingual Customer Service Specialist
6 days ago
South Boston, United States The Sherwin-Williams Company Full timeCustomer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...
-
Customer Service Specialist
4 days ago
Boston, United States Morgan Memorial Goodwill Industries Full time1010 Harrison Ave, Roxbury, MA 02119, USA Req #1360 Friday, August 16, 2024 ESSENTIAL DUTIES AND RESPONSIBILITIES: Provides direct Resource Room customer service and assistance, directing and providing information to customers’ inquiries about services and procedures. Maintains up-to-date knowledge and familiarity with: Massachusetts One-Stop Employment...
-
Customer Onboarding Specialist
13 hours ago
Boston, United States Validity Full timeJob DescriptionJob DescriptionAbout the Role Onboarding Specialists at Validity are enthusiastic problem solvers! The Customer Onboarding Specialist loves to troubleshoot client problems, as well as view and analyze situations from a very logical, systematic perspective. In this role, the Customer Onboarding Specialist will be responsible for onboarding and...
-
Customer Service and Data Entry Specialist
2 weeks ago
Boston, United States ProPivotal Staffing Full timeDescription Customer Service and Data Entry Specialist ($19/hr) About The Opening Pay rate of up to $19 per hour Opportunity to work with one of the leading healthcare organizations Remote work arrangement Must be able to commute to Needham, MA for training Responsibilities Respond professionally to customer inquiries on health insurance, offering support...
-
Customer Account Specialist
2 weeks ago
Boston, United States General Mills Full timeThe Northeast Sales Team is seeking a determined and energetic Customer Account Specialist to accelerate General Mills sales at foodservice operators in the Greater Boston area. As a Customer Account Specialist (CAS) you will drive incremental sales Account Specialist, Account Executive, Specialist, Customer, Salesforce, Operator, Manufacturing, Accounting
-
Customer Service and Data Entry Specialist
1 month ago
Boston, United States ProPivotal Staffing Full timeDescription Customer Service and Data Entry Specialist ($19/hr) About The Opening Pay rate of up to $19 per hour Opportunity to work with one of the leading healthcare organizations Remote work arrangement Responsibilities Respond professionally to customer inquiries on health insurance, offering support and clarity. Provide empathetic assistance for...
-
Customer Service Associate
1 month ago
Boston, United States Hertz Full timeThe Customer Experience Specialist provides customer service that is above and beyond for customer satisfaction and retention creating a culture of empowerment for employees to provide excellent customer service. Responsible for first contact resolution and the customer interaction experience within the location. Immediately handles and resolves customer...
-
Client Service Specialist
3 months ago
Boston, United States Blank Label Full timeWho is Blank Label? Blank Label is an award-winning custom menswear brand with the mission of making custom the new standard for every male shopper - taking guys from ill-fitting work and casual wear to being a guy people would stop on the street just to compliment them on an outfit. We were founded in 2010 as an online custom shirt maker, and since then...
-
Air Logistics Customer Care Specialist
2 months ago
Boston, Massachusetts, United States Kuehne + Nagel Full timeWould you like to launch your career with one of the most successful logistics organizations worldwide? Here at Kuehne+Nagel, our Boston site is looking for a new Air Logistics Customer Care Specialist to join our Air Logistics team. Your Role The Customer Care Specialist is responsible for ensuring that our customers experience is a positive one each and...
-
Customer Service Associate
1 month ago
Boston, United States Hertz Full timeThe Customer Experience Specialist provides customer service that is above and beyond for customer satisfaction and retention creating a culture of empowerment for employees to provide excellent customer service. Responsible for first contact resolution and the customer interaction experience within the location. Immediately handles and resolves customer...
-
Customer Service Associate
1 month ago
Boston, United States Hertz Full timeThe Customer Experience Specialist provides customer service that is above and beyond for customer satisfaction and retention creating a culture of empowerment for employees to provide excellent customer service. Responsible for first contact resolution and the customer interaction experience within the location. Immediately handles and resolves customer...
-
Guardian Service Specialist
1 week ago
Boston, United States Richard Wolf Medical Instruments Full timeRichard Wolf Medical Instruments Corporation is currently seeking a Guardian Service Specialist in Boston, MA. The Guardian Service Specialist is responsible for assisting Independent Sales Reps in the territory with the objective of increasing RWMIC market share for repairs of endoscopic products. The Guardian Service Specialist will work in the assigned...
-
Customer Service Associate
3 weeks ago
Boston, United States Hertz Full timeThe Customer Experience Specialist provides customer service that is above and beyond for customer satisfaction and retention creating a culture of empowerment for employees to provide excellent customer service. Responsible for first contact resolution and the customer interaction experience within the location. Immediately handles and resolves customer...
-
Customer Implementation Specialist
3 months ago
Boston, Massachusetts, United States Tripleseat Software Full time"Tripleseat Rocks" These are words we hear from our customers and employees alike. Tripleseat is a market-leading, cloud-based catering and event management platform for restaurants, hotels, and event venues. We enable those venues to seamlessly book, plan and streamline their events, increasing sales and revenue. Internal Title is Professional Services...