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DICK'S SPORTING GOODS INC
Philadelphia, PA, United States
At DICK’S Sporting Goods, we believe in how positively sports can change lives. On our team, everyone plays a critical role in creating confidence and excitement by personally equipping all athletes to achieve their dreams. We are committed to creating an inclusive and diverse workforce, reflecting the communities we serve. If you are ready to mak
Job Source: DICK'S SPORTING GOODS INCAmerican Red Cross
Philadelphia, PA, United States
Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network? Join us—Where your Career is a Force for Good! Job Description
Job Source: American Red CrossUnknown Planner
Mullica Hill, NJ, 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: Unknown PlannerMindlance
Philadelphia, PA, United States
Job Details: Title: Collections Specialist / Customer Service Rep Location: PHILADELPHIA, PA Duration: 12+ Month Assignment (Possible extension) 100% Onsite Description: Collecting past due residential and commercial accounts. Contact customers to collect their overdue payments. Monitor accounts to identify outstanding debts. Investigate h
Job Source: MindlanceThe Sherwin-Williams Company
Marlton, NJ, United States
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. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well a
Job Source: The Sherwin-Williams CompanySherwin-Williams
Marlton, NJ, United States
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. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as
Job Source: Sherwin-WilliamsCarmax
Philadelphia, PA, United States
7100 - Langhorne - 1776 E Lincoln Hwy, Langhorne, Pennsylvania, 19047 CarMax, the way your career should be! About this job As a Customer Specialist, you will be empowered to provide an iconic experience for our Customers by acting as a guide and offering support during every step of their CarMax journey, reinforcing our simple and seamless p
Job Source: CarmaxPizza Hut
Marlton, NJ, United States
Working at Pizza Hut® is about making hungry people happy. It's about being independent and having fun, making new friends and earning extra cash. As a Pizza Hut team member, you can be the smiling face that greets and serves the customers or a cook who make things happen in the kitchen. Working with us will give you the financial rewards and flexi
Job Source: Pizza HutBerlin, NJ, 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 Berlin, NJ, United States
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