Customer Service Specialist

AdaptHealth

. Learn and maintain knowledge of current products and services offered by AdaptHealth .

Posted 10/13/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in health care administrative processes, including insurance verification, order processing, and customer service. Exhibits strong analytical, problem-solving, and communication skills while navigating multiple EMR systems and adhering to quality assurance standards.

Highest-signal resume keywords

Insurance VerificationCustomer Service SkillsAnalytical SkillsMicrosoft Office ProficiencyHealth Care Administrative Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Order ProcessingDocumentation ReviewInsurance Claims ManagementPre-Authorization SubmissionEMR System Navigation

Soft Skills

Attention to DetailDecision-Making AbilityEffective TeamworkCompassionAdaptability

Tools & Technologies

Authorization GuidelinesInsurance GuidelinesFee SchedulesNPIPECOS

Industry Keywords

MedicareMedicaidCommercial Health PlansHealth Care Customer ServiceCall Center Experience

About the role

Key responsibilities & impact

Learn and maintain knowledge of current products and services offered by AdaptHealth
Answer inbound calls, outbound calls, and emails in a timely manner
Document call information according to standard operating procedures
Answer questions about products, services, retail stores, and general service-line information
Process orders, route calls, and follow up on customer calls
Review, process, verify, and submit documentation and orders
Complete insurance verification for eligibility, coverage, co-insurance, and deductibles
Obtain pre-authorization when required and submit physician orders to insurance carriers
Navigate multiple online EMR systems to obtain documentation
Enter and review authorizations and expiration dates in the EMR system
Communicate insurance trends to Customer Service and Management
Verify insurance carriers in the company database and request additions when needed
Contact patients when documentation does not meet payer guidelines and facilitate the referral process
Meet quality assurance requirements and key performance metrics
Resolve customer complaints and problems
Use company-provided tools, including authorization and insurance guidelines, fee schedules, NPI, PECOS, and how-to documents

Requirements

What you’ll need

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
Excellent customer service skills
Analytical and problem-solving skills with attention to detail
Decision-making ability
Excellent verbal and written communication skills
Ability to prioritize and manage multiple tasks
Proficient computer skills and knowledge of Microsoft Office
Ability to learn new technologies and understand data flow and system interaction
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Ability to work independently and as part of a group
Ability to adapt and be flexible in a rapidly changing environment
Compassion, empathy, accountability, proactivity, initiative, and effective teamwork