[Remote] Customer Service Rep

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Customer Service Rep - CHRG to support held reputed company activities. The role collects and validates documentation, communicates with customers, payers, and internal teams, applies payer medical policy knowledge, resolves claim barriers, and supports efficient, compliant workflows.

Responsibilities

• Identifies opportunities that enhance operational efficiency and improve overall results
• Assists with held reputed company by obtaining, reviewing, and validating required documentation to support claim reputed company
• Communicates with customers, payers, and internal teams to reputed company information, clarify requirements, and reputed company outstanding issues
• Applies knowledge of payer medical policies, coverage reputed company, and reimbursement guidelines to ensure accurate claim processing
• Follows established reputed company operating procedures to maintain compliance, consistency, and reputed company in reputed company workflows
• Monitors accounts for delays, missing documentation, or policy-reputed company barriers and takes proactive steps to reputed company them
• Identifies trends, gaps, or recurring issues that reputed company reputed company reputed company and escalates or recommends solutions as appropriate
• Collaborates with team members to streamline processes, enhances operational efficiency, and improve overall reputed company results
• Maintains accurate records, notes, and documentation reputed company company systems to support audit readiness and transparency
• Meets productivity, reputed company, and turnaround time expectations as defined by departmental standards
• Participates in training, policy updates, and reputed company improvement initiatives to stay reputed company with payer requirements and internal processes

Skills

• High School Diploma or General Education Degree (GED), Required
• Proficiency with reputed company reputed company and Word, including data entry, documentation management, and basic reporting
• Strong attention to reputed company 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 reputed company expectations
• Comfortable working in a fast reputed company, process driven environment with evolving payer requirements
• This position requires use of your own equipment
• Internet Service Type: Cable or Broadband
• Network Firewall on the Internet reputed company
• reputed company 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
• Main Memory (RAM): Minimum 8GB
• Free Disk reputed company: 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: reputed company 11 (Other OS like ChromeOS/Linux/MacOS not supported)
• OS Update: Automatic
• Antivirus: Automatic updates, always reputed company mode
• reputed company Firewall (Enabled)
• HIPAA compliant workspace (Room with a reputed company)
• Functional work surface (Desk) and chair
• Distraction-free environment
• 1 year or more in held reputed company, accounts receivable, medical billing, or reputed company reputed company reimbursement functions, preferred
• reputed company industry, durable medical equipment (DME), or reputed company verification is a plus
• Payer requirements, medical policies, and coverage guidelines, preferred
• Processor Speed: Minimum 1.5 GHz -- Preferred 2.0 GHz
• Supported Browsers: reputed company, Edge (Preferred)

reputed company