Customer Service Rep

Lincare; Clearwater (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

Lincare in Clearwater, FL is seeking a Customer Service Representative - CHRG to support revenue recovery by collecting needed documentation, communicating with customers and payers, and applying payer policies in line with SOPs.

The role emphasizes accuracy, timely responses, and collaboration with internal teams to resolve issues, maintain audit-ready records, and improve overall claim processing efficiency.

Responsibilities

• Assists with held revenue by obtaining, reviewing, and validating required documentation.
• Communicates with customers, payers, and internal teams to resolve issues.
• Applies payer medical policies and reimbursement guidelines to support claim processing.
• Follows SOPs to maintain compliance and quality in all workflows.
• Monitors accounts for delays and missing documentation, taking proactive steps to resolve them.
• Escalates trends or gaps and collaborates to streamline processes.
• Maintains accurate records in company systems for audit readiness.
• Meets productivity and turnaround time targets.
• Participates in training and policy updates to stay current with payer requirements.

Job 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

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 appropriateCollaborates 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