Customer Service Specialist

AdaptHealth

. Develop and maintain working knowledge of current products and services offered by the company .

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

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in insurance verification, including eligibility, coverage, and pre-authorization processes, while effectively managing customer interactions and documentation within EMR systems. Exhibits strong analytical, problem-solving, and communication skills to ensure compliance with healthcare standards and enhance customer service.

Highest-signal resume keywords

Insurance VerificationEMR System NavigationCustomer Service SkillsAnalytical Problem-SolvingMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance DocumentationOrder ProcessingClaims ManagementData EntryQuality AssuranceHealthcare Administrative SkillsFinancial Services KnowledgeCall Center ExperienceMedicare KnowledgeMedicaid Knowledge

Soft Skills

Attention to DetailVerbal CommunicationWritten CommunicationTime ManagementTeam Collaboration

Tools & Technologies

Authorization GuidelinesInsurance GuidelinesFee SchedulesNPIPECOS

Industry Keywords

HealthcareCustomer ServiceInsuranceClaimsBilling

About the role

Key responsibilities & impact

Develop and maintain working knowledge of current products and services offered by the company
Answer inbound calls and emails promptly and make outbound calls
Document call information according to standard operating procedures
Answer questions about products, services, retail stores, and general service line information
Process orders, route calls to appropriate resources, and follow up on customer calls
Review required documentation for accuracy
Process, verify, and/or submit documentation and orders
Complete insurance verification to determine patient eligibility, coverage, co-insurances, and deductibles
Obtain pre-authorization when required and process physician orders to insurance carriers
Navigate multiple online EMR systems to obtain applicable documentation
Enter and review pertinent information in the EMR system, including authorizations and expiration dates
Communicate with Customer Service and Management regarding trends with insurance companies
Verify insurance carriers are listed in the company database and request additions when needed
Contact patients when documentation does not meet payer guidelines, provide updates, and offer options to facilitate referrals
Meet quality assurance requirements and key performance metrics
Resolve customer complaints and problems
Use company-provided tools, including Authorization Guidelines, 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
Proficient computer skills and knowledge of Microsoft Office
Solid ability to learn new technologies and understand flow of data through systems and system interaction
General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred
Excellent customer service skills
Analytical and problem-solving skills with attention to detail
Excellent verbal and written communication skills
Ability to prioritize and manage multiple tasks
Ability to work independently and as part of a group
Ability to adapt and be flexible in a rapidly changing environment
Must be patient, accountable, proactive, take initiative, and work effectively on a team