[Hiring] Customer Service Representative @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, enhance 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.
• Ability to 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.