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Customer Service Representative

1 month ago

Belleville, Illinois, United States AdaptHealth LLC Full time
Job Summary

AdaptHealth LLC is seeking a highly skilled Customer Service Specialist to join our team. As a Customer Service Specialist, you will be responsible for providing exceptional customer service to our patients, answering their questions, and resolving their issues in a timely and professional manner.

Key Responsibilities
  • Develop and maintain a working knowledge of current products and services offered by AdaptHealth
  • Answer all calls and emails in a timely manner, in adherence to our 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 resources, 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
Requirements
  • High School Diploma or equivalent
  • One (1) year work-related experience in healthcare 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
Competencies, 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
AdaptHealth LLC is an Equal Opportunity Employer

We are committed to providing equal employment opportunities to all employees and applicants for employment without regard to 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.