Customer Service Specialist

2 weeks ago


Murray, United States AdaptHealth Full time
Job Duties:
  • Develop and maintain working knowledge of current products and services offered by the company and Pharmacy products.
  • 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
  • Must be able to navigate through multiple online EMR systems to obtain applicable documentation
  • 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


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 Pharmacy 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, claims, billing, call center or management regardless of industry.
  • Exact job experience is considered any of the above tasks in a Medicare certified.


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