- Develop and maintain 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 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, 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.
- 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
- 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
- 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 environment, be patient, accountable, proactive, take initiative and work effectively on a team
- 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.
- 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.
-
Services Specialist
1 week ago
LHH Recruitment Solutions Brentwood, United StatesJob Description · Job DescriptionLHH Recruitment Solutions is currently seeking a Services Specialist for a full-time remote job at a well established health corporation based in Brentwood, TN. This is a great contract role that that offers the opportunity to work with a results- ...
-
Retail Service Specialist
1 week ago
AAA East Central Hermitage, United States Full timeRetail Service SpecialistAAA East Central currently has a full-time Retail Service Specialist opportunity available at the Erie, PA branch office. The branch hours of operation are Monday through Friday 9am – 5pm and Saturday 9am - 1pm with availability to work overtime, as need ...
-
Customer Service Specialist
1 week ago
AdaptHealth LLC Brentwood, United StatesJob Description · Job DescriptionDescription:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting ...
-
Customer Service Specialist
2 days ago
Brightree Brentwood, United StatesCustomer Service Specialist - Resupply page is loaded **Customer Service Specialist - Resupply** · **Customer Service Specialist - Resupply** · locationsBrentwood, TN, United States time typeFull time posted onPosted 7 Days Ago job requisition idJR_011803 You could say Brightre ...
-
Shared Services Specialist
1 week ago
Tranzeal, Inc. Brentwood, United StatesTranzeal is an industry leading global Business Transformation Service Provider offering specific consulting services as well as pre-packaged, industry specific solutions and services to companies around the world. Our Consulting Services are dedicated to helping our clients maxi ...
-
Patient Service Specialist
3 weeks ago
Tennessee Orthopaedic Alliance Brentwood, United StatesJob Type · Full-time · Description · Our Patient Service Specialist serves a very important role in the operation of our TOA clinics. The Patient Service Specialist assists in the operations of each clerical department, demonstrating a broad and encompassing knowledge of clinic ...
-
Shared Services Specialist
1 week ago
IDR, Inc. Brentwood, United StatesIDR is looking for a Shared Services Specialist for on of our biggest healthcare clients in the Brentwood, TN area This will be a HYBRID, contract position If you have customer support/administrative experience, please apply today · Responsibilities: · Communicate with internal ...
-
Customer Service Specialist
2 weeks ago
AdaptHealth LLC Brentwood, TN, United States: · AdaptHealth Opportunity - Apply Today At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about ...
-
Guest Service Specialist at
1 week ago
COOL SPOT Brentwood, United StatesJob Description · Job DescriptionCool Spot in Brentwood is looking for new guest service specialists to join our team. We are located on 390 W Country Club Dr. Our ideal candidate is attentive, ambitious, and reliable. · Responsibilities · Excellent Guest Service · Preparing and ...
-
Shared Services Specialist
1 week ago
TalentBurst, Inc. Brentwood, United States ContractJob Title: Shared Services Specialist · Location: Brentwood, TN Hybrid (3 days Onsiteper week) · Duration: 3 Months · Duties: The role of Shared Services Specialist will be shared between the 'Supplier Outreach Team' and the Purchasing Team. The GTM's daily duties will be split ...
-
Shared Services Specialist
3 weeks ago
TalentBurst, Inc. Brentwood, United States ContractJob Title: Shared Services Specialist · Location: Brentwood, TN · Duration: 3 Months · Duties: The role of Shared Services Specialist will be shared between the 'Supplier Outreach Team' and the Purchasing Team. The GTM's daily duties will be split evenly between the two teams. ...
-
Customer Service Specialist
3 weeks ago
AdaptHealth LLC Brentwood, United States:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about m ...
-
Customer Service Specialist
1 week ago
AdaptHealth LLC Brentwood, United States:AdaptHealth Opportunity – Apply Today · At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about m ...
-
Associate Patient Service Specialist
2 weeks ago
Vanderbilt University Medical Center Brentwood, United StatesDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a p ...
-
Horizon Dynamics Murfreesboro, United StatesWhere? Murfreesboro · When? Starting from · How long? 2 years · Your responsibilities as a specialist for courier, express and postal services · Delivery of letters and packages using our company vehicles · Punctual delivery of registered or cash on delivery shipments · Responsi ...
-
Inside Sales/Client Services Specialist
3 weeks ago
Firestone Complete Auto Care Brentwood, TN, United States Full timeBridgestone Retail Operations (BSRO) is part of Bridgestone Americas and employs over 22,000 teammates in North America. With locations across North America and more than $3 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career ...
-
Entry Level Sales Representative
1 week ago
Just Exteriors LLC North Brentwood, United States**About Us**: · Just Exterior LLC is a leading name in the insurance roofing industry, committed to providing high-quality solutions for homeowners. We're seeking enthusiastic individuals to join our team as Sales Representatives, connecting with homeowners to discuss our service ...
-
Loss Prevention- Front End Associate
3 weeks ago
Ross Dress For Less Brentwood, United States**Welcome to Ross Stores, Inc., where our differences make us stronger ** At Ross and dd's, inclusion is a way of life. We care about our Associates and the communities we serve and we value their differences. We are committed to building diverse teams and an inclusive culture. W ...
-
Maintenance Management Technology Referent
2 weeks ago
Stellar Ventures Brentwood, United StatesAs Germany's largest private brewery group, we are not only the market leader in the German brewing industry, but also a producer of soft drinks, logistics provider, wholesale specialist, beverage retailer, delivery service, empties manager, solution provider for gastronomy and t ...
-
Electrical specialist
2 weeks ago
Sapphire Enterprises North Brentwood, United StatesWelcome to Leadec · With passion and dedication, we are the service specialist for the manufacturing industry. For over 60 years, our customers have relied on us. Our expertise revolves around the factory of today and tomorrow and its infrastructure. Through our services in maint ...
Customer Service Specialist - Brentwood, United States - AdaptHealth LLC
Description
Job Description
Job DescriptionDescription:AdaptHealth Opportunity – Apply Today
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives – out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply, we would love to hear from you.
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 works in a fast-paced environment answering inbound calls and making outbound calls. Maybe responsible for obtaining, analyze, and verify the accuracy of information received from referrals, create orders, and or schedule the patient to receive equipment as ordered by their doctor. Customer Service Specialists should educate Patients of their financial responsibility when applicable.
Job Duties:
Competency, Skills and Abilities:
Minimum Job Qualifications:
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.
PIf6d8c08e26b
