Customer Service Rep

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