Customer Operations – Workers Compensation Claims

This is a fully remote position, open to applicants in Alabama, +28 more locations.

📋 Description

• Conduct high-volume outbound calls to investigate, bill, and optimize payments on medical claims.

• Examine and resolve issues related to workers' compensation claims that have been troubled or denied.

• Reach out to patient employers, representatives from insurance companies, attorneys, and patients.

• Submit bills along with the necessary documentation to insurance companies or designated payers.

• Review payer information and documentation when bills are not processed correctly.

• Engage in special projects aimed at achieving objectives and ensuring client success.

• Assist hospitals and medical providers in maximizing their claim payments.

⛳️ Requirements

• Candidates must reside in the United States within one of the following states: Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, or West Virginia.

• Proficient in Microsoft Office (Word, Excel, Outlook).

• Technical capability to work across multiple computer screens and software applications concurrently.

• Ability to sustain high performance in a fast-paced environment with productivity targets.

• Capacity to stay organized while managing multiple tasks.

• Strong critical thinking and problem-solving abilities.

• Clear and professional verbal and written communication skills.

• A private and distraction-free home office environment.

• Active on-camera presence during work hours and training sessions.

• Secure internet connection is necessary.

• Home internet speeds must exceed 20 Mbps download and 10 Mbps upload.

• Workspace must be suitable to accommodate workstation equipment and related materials.

• Must be eligible for employment in the United States.

• Successful verification of employment history and background check is required.

• Experience in billing medical claims to insurance companies is mandatory for the application pre-screen.

• Familiarity with Coordination of Benefits and a general understanding of insurance billing is advantageous but not essential.

🏝️ Benefits

• Comprehensive training starting on the first day and lasting 8–10 business days.

• Continuous support from teammates after training.

• Access to a robust knowledge base for ongoing reference.

• Individual performance metrics for effective goal-setting.

• Provision of computers and necessary work equipment.

• Supportive management involvement.

• Participation in an incentive plan.

• Opportunity to work remotely from home.