Service Operations Specialist

2 weeks ago


Murray, United States AdaptHealth Full time
Job Responsibilities:
  • Cultivate and sustain a comprehensive understanding of the current offerings and services provided by AdaptHealth.
  • Respond to all inquiries via phone and email promptly, ensuring adherence to established performance goals.
  • Record all interaction details in accordance with standard operational protocols.
  • Provide information regarding products and services, retail locations, general service inquiries, and other relevant details based on customer needs.
  • Manage order processing, direct calls to the appropriate departments, and follow up on customer inquiries as necessary.
  • Review all necessary documentation to guarantee precision.
  • Efficiently process, verify, and/or submit documentation and orders.
  • Conduct insurance verifications to ascertain patient eligibility, coverage, co-insurance, and deductibles.
  • Responsible for reaching out to patients when received documentation does not comply with payer guidelines, offering updates and alternative options to streamline the referral process.
  • Achieve quality assurance standards and other critical performance metrics.
  • Address customer complaints and facilitate problem resolution effectively.
  • Demonstrate strong attention to detail and possess exceptional organizational abilities.
  • Exhibit active listening skills and manage challenging situations with empathy and compassion.
  • Display flexibility regarding work responsibilities and operational hours.

Skills and Competencies:

  • Outstanding customer service abilities.
  • Strong analytical and problem-solving skills with a keen eye for detail.
  • Effective decision-making capabilities.
  • Excellent verbal and written communication skills.
  • Ability to prioritize and handle multiple responsibilities efficiently.
  • Proficient in computer applications and knowledgeable in Microsoft Office Suite.
  • Solid aptitude for learning new technologies and understanding data flow within systems.
  • Familiarity with Medicare, Medicaid, and Commercial health plan methodologies and documentation standards is preferred.
  • Ability to work independently as well as collaboratively within a team.
  • Adaptability and flexibility in a dynamic work environment, demonstrating patience, accountability, proactivity, and initiative.

Minimum Qualifications:

  • High School Diploma or equivalent.
  • At least one year of relevant experience in healthcare administration, financial services, insurance customer support, claims processing, billing, call center operations, or management in any industry.
  • Relevant experience in a Medicare-certified environment is considered advantageous.


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