Customer Service Rep - CHRG

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
• Maintains accurate records, notes, and documentation within company systems to support audit readiness and transparency
• Collaborates with team members to streamline processes, enhances operational efficiency, and improve overall performance results
• Maintains accuracy and completeness of customer and payer information
• Ensures adherence to regulatory and organizational policies and procedures
• Participates in training, policy updates, and continuous improvement initiatives to stay current with payer requirements and internal processes