- 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.
-
Retail Service Specialist
2 weeks ago
O'Reilly Auto Parts Ashland, United StatesO'Reilly Automotive - 711 Martin Luther King Jr Blvd [Store Supervisor / Team Member] As a Retail Service Specialist at O'Reilly Automotive, you'll: Provide professional services while delivering an excellent customer service experience; Support the Store Manager and Assistant Ma ...
-
SilverLinx Boyd, United States"Join our international team and experience the colorful world of fruits and vegetables with Boyd. Start your professional career with an apprenticeship in logistics at FRUCHTHANSA. Become part of a team that takes the training of young professionals seriously and puts you at the ...
-
Tax specialist
1 week ago
Spectrum Dynamics Boyd, United StatesAbout the Company · Innovative technologies, great career opportunities, genuine teamwork, and a sustainable vision for the future of the company make the eurodata Group an attractive employer for those who are passionate about IT. We have a portfolio for both beginners and exper ...
-
NovaWorks Boyd, United StatesAre you passionate, full of energy, and ready to conquer the world of nursing? Then we have the perfect opportunity for you In the region between Harz and Heide, the AWO offers social services in over 130 facilities in the areas of senior care, youth and education, labor market p ...
-
beBee Handyman Ashland, KY, United States FreelanceI am in need of a Psychologist service with the following characteristics in Ashland, KY:What does the patient feel? · Anxiety, isolation, sadness, confusion · What type of specialist is needed? · Clinical (to treat psychological problems or disorders) · How old is the patient? · ...
-
BlueSky Innovations Coal Grove, United StatesBRK District Association · South Franconia · Educator (m/f/d) for BRK House for Children "Jungle Gang" in Coal Grove · Open Position · Part-time - · The Bavarian Red Cross - District Association South Franconia - is one of the leading providers of social services in the region w ...
-
Specialist in Urology
1 week ago
Eclipse Innovations Ironville, United StatesWe are currently seeking a motivated specialist in urology (m/f/d) for an academic teaching hospital in the Erfurt area. The hospital provides basic and standard medical care. THE OFFER: * Comprehensive range of urological services with a focus on surgical procedures * Endoscopic ...
-
Skyline Solutions Crown City, United StatesAbout the Company · Crown City. That is our claim as an employer. At all of our locations, we rely on modern working methods and utilize the diversity of our organization to create a positive experience for our customers with tailored solutions and services. Become part of this s ...
-
Aurora Innovations Ironton, United StatesDo you want to help people secure their financial future? Do you want to experience the success of your work directly and benefit from good performance? · If you want to focus on your core competencies without any worries and at the same time excel in quality, then you should bri ...
-
Training to become a commercial specialist
1 week ago
Omega Enterprises Ironton, United StatesTraining as a retail specialist (IHK) retail (m/f/d) · At EDEKA Pfeilstetter in Räterstraße 24, 85551 Heimstetten / Kirchheim - Job-ID SB · Start date Employment typeTraining, full-time · Duration3 yearsWhat will you become? · Training as a retail specialist is a great alternati ...
-
Strategic Purchaser
3 weeks ago
Crimson Technologies Ironton, OH, United States FreelanceAIDe PersonalService - for over 30 years, the specialist for temporary staffing and recruitment. We are a successful owner-managed company for personnel services in the fields of AUTOMOTIVE, AVIATION, ELECTRICS, HEALTHCARE, HOSPITALITY, INDUSTRIES, LOGISTICS, and OFFICES. · For o ...
-
NovaTech Solutions Ironton, United StatesWe are the federal cyber security agency of Germany. Together with our team of over 1,500 employees, we are shaping a secure digital future for our country. As digitalization continues to rapidly develop, our team is also growing to over 1,700 employees. We are looking for dedica ...
-
Human Resources Officer
1 week ago
Infinity Systems Flatwoods, United StatesHRblue has been specializing in filling HR specialist and leadership positions for around 20 years. We operate in all industries throughout Germany. · Currently, we are filling the following mandate: · Our client is a service and data company with nearly 1,000 employees. Constant ...
-
beBee Handyman Worthington, KY, United States FreelanceWorthington, KY 'Problem of separation of a couple. Unintentionally, and because of their fault. Path of defeat, loneliness and sadness.What does the patient feel? · Loneliness, sadness, confusion · What type of specialist is needed? · Family or couple therapist (sexology) · What ...
-
NovaTech Solutions Ceredo, United StatesThere are many reasons to collaborate with European Medical Consulting Adam in Ceredo. In the following section, you will see how you can benefit from our free services and save valuable time: * You will have access to exclusive and unpublished job opportunities * Our relocation ...
-
Call Center Specialist
5 days ago
Capital Health Township of Lawrence, United StatesWork Shift: · Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursin ...
-
Legal Affairs Processing
3 weeks ago
Skyline Solutions Union, WV, United States Freelance**Administrative Support for Legal Affairs**: · Pay grade A 10 LBesO or A 9+ Z LBesO (career group 1) or EG 9b TVöD · **for the Department of Social Services** · The Department of Social Services has its own legal department that represents the legal interests of the department i ...
-
Orion Innovations North Lawrence, OH, United States Freelance**Country**: Germany · **Location**: Carrier Kältetechnik Deutschland GmbH, Am Mainzer Weg, 55241 Mainz-Kostheim · **Role**: Events & Customer Experience Specialist** (m/w/d)** · **Location: Mainz-Kostheim or nationwide** · **Employment Type: Full-time, Permanent** · **Why Carrie ...
-
Plant operator
3 weeks ago
Matrix Dynamics Wayne, WV, United States Freelance**Reference number: 1178 · Machine Operator (m/f/d) in 55543 Bad Kreuznach, Wayne, WV**: · **What you can expect**: · - An hourly wage of approximately 15.54€ · - Work in a four-shift system (morning, afternoon, and night shifts) · **Your tasks**: · - Your tasks may include: · - ...
-
beBee Handyman Wurtland, KY, United States FreelanceI am in need of a Psychologist service with the following characteristics in Wurtland, KY:What does the patient feel? · ADHD, anxiety, depression · What type of specialist is needed? · Clinical (to treat psychological problems or disorders), educational · How old is the patient? ...
Customer Service Specialist - Ashland, United States - AdaptHealth LLC
Description
AdaptHealth Opportunity - Apply TodayAt 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.
This position is for a remote employee in the Ashland, KY area.
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:
Minimum Job Qualifications:
