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Soulfoodsunday
Atlanta, GA, United States
Job Position Customer Service Specialist Description At Soul Food Sunday, we believe in hard work, a fun environment, and the kind of creativity and innovation that only comes about when skilled people from diverse backgrounds approach problems from varying perspectives. We believe each customer interaction is an opportunity to delight, engage, a
Job Source: SoulfoodsundayGreenlight
Atlanta, GA, United States
Greenlight is the leading family fintech company on a mission to help parents raise financially smart kids. We proudly serve more than 6 million parents and kids with our award-winning banking app for families. With Greenlight, parents can automate allowance, manage chores, set flexible spend controls, and invest for their family’s future. Kids and
Job Source: GreenlightWellStreet
Atlanta, GA, United States
**Customer Service Specialist** **Piedmont Urgent Care - Remote/Atlanta, GA - Full Time** * Associates Degree (Bachelors degree preferred) in Healthcare Administration, Business Administration, or a related field. * Three or more years experience in call center operations. * Five or more years of customer service (patient) experience required. * An
Job Source: WellStreetAscena Retail Group
Mcdonough, GA, United States
About us Our founder, Lena Bryant didn't set out to change fashion forever, but that's exactly what she did. 120 years later, Lane Bryant remains the iconic plus-size brand. Empowering women is kind of our thing. Our inclusive community of customers and associates champions the acceptance of all sizes, shapes, and people. If you believe in the powe
Job Source: Ascena Retail GroupMassey Services
Fayetteville, GA, United States
Based in Orlando, Florida, Massey Services is one of the nation’s largest and most respected service companies, with a history of providing quality service for more than three decades. Celebrating consecutive years of profitable growth since 1985, Massey Services and its subsidiary organizations employ over 2,800 team members and operate over 2,400
Job Source: Massey ServicesRollins, Inc.
Atlanta, GA, United States
** Customer Service Specialist** **Job Category****:** Customer Service **Requisition Number****:** CUSTO022177 Showing 1 location **Job Details** **Description** **At Orkin, our purpose is to help protect the world where we live, work, and play.** Our **Customer Relations Specialists** are committed to this purpose. Our **Cu
Job Source: Rollins, Inc.Sherwin-Williams
Atlanta, GA, United States
This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Specialists are also expected to promptly resolve any customer concerns
Job Source: Sherwin-WilliamsThe Sherwin-Williams Company
Decatur, GA, United States
This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Specialists are also expected to promptly resolve any customer concern
Job Source: The Sherwin-Williams CompanyStockbridge, GA, United States
AdaptHealth Opportunity - Apply Today!
At 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.
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:
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
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
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
Requirements
Minimum Job Qualifications: 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.
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.
Customer Service Specialist jobs in Stockbridge, GA, United States
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