Customer Service Rep - CHRG at Lincare

United States

<div>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.</div> <ul> <li>Identifies opportunities that enhance operational efficiency and improve overall results</li> </ul> <div><strong>JOB FUNCTIONS</strong></div> <ul> <li>Assists with held revenue by obtaining, reviewing, and validating required documentation to support claim resolution</li> <li>Communicates with customers, payers, and internal teams to gather information, clarify requirements, and resolve outstanding issues</li> <li>Applies knowledge of payer medical policies, coverage criteria, and reimbursement guidelines to ensure accurate claim processing</li> <li>Follows established standard operating procedures to maintain compliance, consistency, and quality in all workflows</li> <li>Monitors accounts for delays, missing documentation, or policy-related barriers and takes proactive steps to resolve them</li> <li>Identifies trends, gaps, or recurring issues that impact revenue flow and escalates or recommends solutions as appropriate</li> <li>Collaborates with team members to streamline processes, enhances operational efficiency, and improve overall performance results</li> <li>Maintains accurate records, notes, and documentation within company systems to support audit readiness and transparency</li> <li>Meets productivity, quality, and turnaround time expectations as defined by departmental standards</li> <li>Participates in training, policy updates, and continuous improvement initiatives to stay current with payer requirements and internal processes</li> </ul><div>Qualifications</div><div><strong>Education</strong></div> <ul> <li>High School Diploma or General Education Degree (GED), Required</li> </ul> <div><strong>Work Experience</strong></div> <ul> <li>1 year or more in held revenue, accounts receivable, medical billing, or related healthcare reimbursement functions, preferred</li> <li>healthcare industry, durable medical equipment (DME), or insurance verification is a plus</li> </ul> <div><strong>Knowledge, Skills, and Abilities</strong></div> <ul> <li>payer requirements, medical policies, and coverage guidelines, preferred</li> <li>Proficiency with Microsoft Excel and Word, including data entry, documentation management, and basic reporting</li> <li>Strong attention to detail to analyze account information and identify discrepancies</li> <li>Effective written and verbal communication for interacting with customers, payers, and internal teams</li> <li>manage multiple tasks, prioritize workload, and meet productivity and quality expectations</li> <li>Comfortable working in a fast paced, process driven environment with evolving payer requirements</li> <li>This position requires use of your own equipment <ul> <li><strong>Internet Service Type:</strong> Cable or Broadband</li> <li>Network Firewall on the Internet Connection</li> <li><strong>Connection Type:</strong> Wired to ISP Modem</li> <li><strong>Latency to Florida or Tennessee Data Centers / Ping:</strong> &lt; 30ms</li> <li><strong>Download Speed:</strong> Minimum 80 Mbps</li> <li><strong>Upload Speed:</strong> Minimum 10 Mbps</li> <li><strong>Monitor Size:</strong> Minimum 20" Dual Monitors</li> <li><strong>Processor Speed:</strong> Minimum 1.5 GHz -- Preferred 2.0 GHz</li> <li><strong>Main Memory (RAM):</strong> Minimum 8GB</li> <li><strong>Free Disk Space:</strong> Minimum 1GB</li> <li><strong>Keyboard:</strong> Wired (Wireless not supported)</li> <li><strong>Mouse:</strong> Wired (Wireless not supported)</li> <li><strong>Audio:</strong> USB Headset (Bluetooth/AUX not supported)</li> <li><strong>Network Connector:</strong> Wired Ethernet</li> <li>Webcam</li> <li><strong>OS Version:</strong> Windows 11 (Other OS like ChromeOS/Linux/MacOS not supported)</li> <li><strong>OS Update:</strong> Automatic</li> <li><strong>Antivirus:</strong> Automatic updates, always scan mode</li> <li>Windows Firewall (Enabled)</li> <li><strong>Supported Browsers:</strong> Chrome, Edge (Preferred)</li> <li>HIPAA compliant workspace (Room with a door)</li> <li>Functional work surface (Desk) and chair</li> <li>Distraction-free environment</li> </ul> </li> </ul>