Patient Services Representative

Adapthealth • Newton, IA

105d

About The Position

Provides exceptional customer service by answering phone calls and ensuring patient needs are met with care and efficiency. Handles variety of call types while representing the company's commitment to quality, compassion, and support.

Requirements

• High school diploma or equivalent required
• Associate's degree in healthcare administration, Business Administration, or related field preferred
• Previous experience in healthcare, insurance, medical billing, or patient services preferred
• Knowledge of respiratory therapy or DME services preferred
• Level I: One (1) year of work-related experience
• Level II: One (1) year of work-related experience plus Two (2) years exact job experience
• Lead Level: One (1) year of work-related experience plus Four (4) years exact job experience

Nice To Haves

• Familiarity with Medicare, Medicaid, and commercial insurance processes
• Understanding of healthcare documentation requirements

Responsibilities

• Answers calls and emails in timely manner, meeting performance goals
• Handles standard call types: tank requests, ETA inquiries, pick-up requests, location assistance, order status, pricing inquiries
• Documents call information per standard operating procedures
• Answers questions about products, services, retail stores, and general service information
• Verifies insurance carriers in database system
• Resolves customer complaints with problem-solving approach
• Maintains working knowledge of current products and services
• Adheres to HIPAA guidelines and maintains patient confidentiality
• Handles advanced call types: oxygen (O2) services, DME, insurance verification/clarification
• Processes payments, orders, and returns
• Troubleshoots equipment issues and provides advanced care solutions
• Resolves escalated issues or hands off with clear documentation
• Serves as resource to Level 1 representatives for knowledge sharing and skill development
• Serves as subject matter expert and primary resource for team
• Conducts new hire training and mentors team members
• Handles escalated calls and complex issues with appropriate follow-up
• Identifies root causes of service issues and collaborates on process improvements
• Prepares reports for leadership and other departments
• Supports departmental standards and Patient Experience initiatives
• Assists with task coordination and ensures adherence to workflows
• Collaborates with supervisor on performance metrics and service excellence

What This Job Offers

• Career Level: Entry Level
• Industry: Merchant Wholesalers, Durable Goods
• Education Level: High school or GED