Customer Service Rep
Location
United States
Posted
9 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Customer Service Rep
Lincare
Role Description 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. - Identifies opportunities that enhance operational efficiency and improve overall results. - 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. Qualifications - High School Diploma or General Education Degree (GED), Required. - 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. - 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. Requirements - This position requires use of your own equipment. - Internet Service Type: Cable or Broadband. - Network Firewall on the Internet Connection. - Connection Type: Wired to ISP Modem. - Latency to Florida or Tennessee Data Centers / Ping: < 30ms. - Download Speed: Minimum 80 Mbps. - Upload Speed: Minimum 10 Mbps. - Monitor Size: Minimum 20" Dual Monitors. - Processor Speed: Minimum 1.5 GHz -- Preferred 2.0 GHz. - Main Memory (RAM): Minimum 8GB. - Free Disk Space: Minimum 1GB. - Keyboard: Wired (Wireless not supported). - Mouse: Wired (Wireless not supported). - Audio: USB Headset (Bluetooth/AUX not supported). - Network Connector: Wired Ethernet. - Webcam. - OS Version: Windows 11 (Other OS like ChromeOS/Linux/MacOS not supported). - OS Update: Automatic. - Antivirus: Automatic updates, always scan mode. - Windows Firewall (Enabled). - Supported Browsers: Chrome, Edge (Preferred). - HIPAA compliant workspace (Room with a door). - Functional work surface (Desk) and chair. - Distraction-free environment.
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