Customer Service Rep

Lincare is seeking a Customer Service Rep - CHRG to support held revenue and claim resolution. The role collects and validates documentation, communicates with customers, payers, and internal teams, applies payer medical policy knowledge, and follows standard operating procedures to resolve account issues and improve operational results.

Responsibilities:

• 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

Requirements:

• High School Diploma or General Education Degree (GED)
• 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
• 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