Customer Service Rep - CHRG
Lincare Holdings
Customer Service Rep - CHRG
The Customer Service Rep - CHRG assists with held revenue by collecting required documentation, communicating with customers, and applying payer medical policy knowledge in alignment with standard operating procedures.
Job Functions
- Assists with held revenue by obtaining, reviewing, and validating required documentation to support claim resolution
- Communicates with customers, payers, and internal teams to gather information, clarify requirements, and resolve outstanding issues
- Applies knowledge of payer medical policies, coverage criteria, and reimbursement guidelines to ensure accurate claim processing
- Follows established standard operating procedures to maintain compliance, consistency, and quality in all workflows
- Monitors accounts for delays, missing documentation, or policy-related barriers and takes proactive steps to resolve them
- Identifies trends, gaps, or recurring issues that impact revenue flow and escalates or recommends solutions as appropriate
- Collaborates with team members to streamline processes, enhances operational efficiency, and improve overall performance results
- Maintains accurate records, notes, and documentation within company systems to support audit readiness and transparency
- Meets productivity, quality, and turnaround time expectations as defined by departmental standards
- Participates in training, policy updates, and continuous improvement initiatives to stay current with payer requirements and internal processes
Education
- High School Diploma or General Education Degree (GED), Required
Work Experience
- 1 year or more in held revenue, accounts receivable, medical billing, or related healthcare reimbursement functions, preferred
- Healthcare industry, durable medical equipment (DME), or insurance verification is a plus
Knowledge, Skills, and Abilities
- Payer requirements, medical policies, and coverage guidelines, preferred
- Proficiency with Microsoft Excel and Word, including data entry, documentation management, and basic reporting
- Strong attention to detail to analyze account information and identify discrepancies
- Effective written and verbal communication for interacting with customers, payers, and internal teams
- Manage multiple tasks, prioritize workload, and meet productivity and quality expectations
- Comfortable working in a fast paced, process driven environment with evolving payer requirements
Vacancy posted 2 days ago
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