Customer Service Representative (Healthcare)

Operations Specialist

The Customer Service Representative, known at Adapt as an Operations Specialist, supports patient care and operational excellence in our business. This role is unique in its ability to impact patient outcomes while driving process improvements and team performance.

Core Responsibilities

• Support regional operations through workflow improvement, training, and process optimization
• Review and process documentation, including insurance verification, authorizations, and order accuracy
• Navigate EMR systems to enter, track, and validate patient and authorization data
• Analyze workflows, identify errors, and implement solutions to improve efficiency and quality
• Collaborate with teams and leadership to resolve issues and communicate trends
• Maintain knowledge of payer guidelines, products, and services to ensure compliance
• Assist with training materials, onboarding, and cross-functional support
• Participate in projects to refine processes and enhance operational performance
• Meet quality and performance metrics while managing multiple priorities
• Perform patient assessments and follow-ups to support care and compliance
• Ensure accurate documentation and adherence to HIPAA, PPE, and infection control standards
• Perform other duties as assigned

Why You're the Best Fit

• One (1) year of relatable work experience required
• High School Diploma, Associate's degree in relatable field, Healthcare Administration, Business Administration or equivalent work experience required
• Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
• Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is a plus but not required
• Excellent verbal and written communication skills including analytical, problem-solving and decision-making abilities with attention to detail
• Ability to multi-task in a fast paced environment
• Proficient computer skills Microsoft Office and healthcare systems are a plus
• Comfort learning new technologies and navigating multiple systems
• Ability to work independently while following established procedures and directives

Work Environment

• Physical Requirements: Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential function of the job. Reasonable accommodations may be made to enable individuals with disability(s) to perform the essential functions. For more detail surrounding these requirements please inquire upon application selection.

Compensation

• Compensation is based on experience, location and role level

Total Rewards & Benefits Program

• Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
• 401(k) with company match
• Paid Time Off Plans including 6 paid holidays
• Employee Stock Purchase Plan
• Paid Parental Bonding Leave
• Short and Long-term Disability Insurance
• Life and AD&D Insurance
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• CVS Minute Clinic and Teledoc access
• Spousal Advantage Reimbursement Plan
• Identity Theft Protection and Legal Plan

*Applicable waiting periods apply

Requirements Disclosure

• Company conducted Background Check is required for all roles
• Company conducted Motor Vehicle Record Check is required for driving roles
• Clinical roles require valid licensure/certification, where applicable

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.

If you're passionate about and committed to changing lives, we want to hear from you. Apply today and take the next step in your career with AdaptHealth!