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Customer Service Representative

3 months ago


Silverthorne, Colorado, United States AdaptHealth LLC Full time
Customer Service Specialist Job Description

At AdaptHealth LLC, we are seeking a highly skilled Customer Service Specialist to join our team. As a Customer Service Specialist, you will play a critical role in ensuring the successful service delivery to our patients.

Key Responsibilities:
  • Develop and maintain a working knowledge of our current products and services.
  • Answer all calls and emails in a timely manner, adhering to our service standards.
  • Document all call information according to our standard operating procedures.
  • Process orders, route calls to appropriate resources, and follow up on customer calls as necessary.
  • Review all required documentation to ensure accuracy.
  • Accurately process, verify, and/or submit documentation and orders.
  • Complete insurance verification to determine patient 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 necessary.
  • Communicate with Customer Service and Management on an ongoing basis regarding any noticed trends with insurance companies.
  • Meet quality assurance requirements and other key performance metrics.
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.

AdaptHealth LLC 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.