AdaptHealth oferă soluții de asistență medicală la domiciliu, axate pe îngrijirea aparatului respirator, sănătatea somnului, gestionarea diabetului și starea de bine. Serviciile sale includ dispozitive CPAP, echipamente pentru oxigenoterapie, consumabile pentru diabet și alte produse medicale care îi ajută pe pacienți să își gestioneze nevoile zilnice de sănătate acasă. Compania combină operațiuni medicale de amploare cu sprijin pentru pacienți, procesarea comenzilor și servicii online, creând oportunități pentru profesioniști interesați de furnizarea de servicii medicale, echipamente medicale, logistică, producție și servicii pentru clienți.
Remote Customer Service Specialist
Handle patient referrals, insurance checks, and medical equipment orders remotely. AdaptHealth provides home medical equipment and services to support patients living at home.
Descriere
- Stay current on AdaptHealth products and services.
- Respond promptly to incoming and outgoing calls and emails.
- Record call details in line with standard procedures.
- Answer questions about products, services, retail locations, and service lines.
- Process orders, direct calls, and follow up with customers.
- Review, process, verify, and submit orders and supporting documents.
- Check insurance eligibility, coverage, coinsurance, and deductibles.
- Secure required preauthorizations and submit physician orders to insurers.
- Use multiple online EMR systems to retrieve documentation.
- Enter and check authorizations and expiration dates in the EMR system.
- Share insurance trends with Customer Service and management.
- Confirm insurers in the company database and request new entries when needed.
- Contact patients about documentation that does not meet payer guidelines and support referral completion.
- Meet quality assurance standards and performance targets.
- Address customer complaints and resolve issues.
- Use company resources such as authorization and insurance guidelines, fee schedules, NPI, PECOS, and instructional documents.
Cerințe
- High school diploma or equivalent.
- At least one year of related work experience in healthcare administration, finance, insurance customer service, claims, billing, call centers, or management; experience in any industry is accepted.
- Senior-level candidates need at least two years of related work experience, including one year in the exact role.
- Strong customer service skills.
- Analytical and problem-solving ability, with close attention to detail.
- Sound decision-making skills.
- Strong spoken and written communication skills.
- Ability to prioritize and handle multiple tasks.
- Computer proficiency and familiarity with Microsoft Office.
- Ability to learn new technologies and understand data flow and system interactions.
- General knowledge of Medicare, Medicaid, and commercial health plan processes and documentation requirements is preferred.
- Ability to work independently and collaboratively.
- Flexibility and adaptability in a fast-changing environment.
- Compassion, empathy, accountability, initiative, proactivity, and effective teamwork.