Customer Service Representative - Louisiana, Baton Rouge

Customer Service RepresentativePermanent

Louisiana, Baton Rouge - 70809
  • Applications 0
  • Post Date: 2022-10-22
  • Views 454
  • Job Categories:Array
  • Job Type:Permanent
  • Published Date:2022-10-22
  • Salary Period:Hourly
  • Company Name:AdaptHealth
  • Company Type:Agency

Job Simplification

The announced job offer is made public by the firm: AdaptHealth and it was included in jobs list the date of: 2022-10-22 in the website

It is announced that they have a job offer at the category of Array and the jobs location is in the state of Louisiana at the city Baton Rouge, in the country US - at this current ZipCode: 70809

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Job Overview

Job Description

Job Title: Customer Service Specialist FLSA Classification: Non-Exempt

Department: Customer Service Rev Date: 06/20, 1/21

Reports To: Customer Service Manager or Supervisor Approved by: Human Resources

Position Summary:

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.

Essential Functions and Job Responsibilities:
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
Develop and maintain working knowledge of current HME products and services offered by the company.
Maintain patient confidentiality and function within the guidelines of HIPAA.
Completes assigned compliance training and other educational programs as required.
Maintains compliant with AdaptHealth's Compliance Program.
Assist operations with on-call responsibilities as needed during non-business hours in accordance with company policy.
Depending on the geographic territory and size of the branch location, may require assisting operations with deliveries.
Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling.

Job Description
Perform other related duties as assigned.

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
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.
Ability to adapt and be flexible in a rapidly changing environment, be patient, accountable, proactive, take initiative and work effectively on a team.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to work independently as well as follow detailed directives
Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction Computer skills including knowledge of Microsoft Office applications

Education and Experience Requirements:
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 HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

Physical Demands and Work Environment:
Work environment may be stressful at times, as overall office activities and work levels fluctuate
Must be able to bend, stoop, stretch, stand, and sit for extended periods of time
Subject to long periods of sitting and exposure to computer screen
Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use
Must be able to lift 5 to 10 pounds periodically as needed.
Excellent ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy.
Mental alertness to perform the essential functions of position.
May be exposed to angry or irate customers or patients
May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen.

Employee Acknowledgement

This job description is intended as a summary of the primary responsibilities of and qualifications for this position. It is not intended as inclusive of all duties an individual in this position might be asked to perform or of all qualifications that may be required for this position either now or in the future. AdaptHealth reserves the right to amend this job description at any time with notice to the employee. By signing this job description, I acknowledge that I have reviewed the document and understand the expectations of the position.

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Employee Signature Print Name Date

Job Type: Full-time

Pay: $13.00 - $15.00 per hour

Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
8 hour shift
Monday to Friday
On call

Ability to commute/relocate:
Baton Rouge, LA 70809: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location
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Employer Overview


Louisiana, Baton Rouge - 70809
  • Agency