Customer Operations – Workers Compensation Claims

This is a fully remote position, open to applicants in Alabama, +27 more states.

📋 Description

• Conduct a high volume of outbound calls to assess, bill, and optimize payments on medical claims for hospitals and healthcare providers.

• Investigate and resolve issues related to troubled or denied workers' compensation claims.

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

• Submit bills and necessary documentation to insurance companies or the appropriate payers.

• Review payer information and documentation when bills are incorrectly processed.

• Identify the appropriate next steps for underpaid or inaccurately paid bills.

• Engage in special projects to achieve objectives and ensure client success.

⛳️ Requirements

• Must be a resident of the United States in one of the designated eligible states.

• Must be eligible to work in the United States.

• Must successfully complete a background check.

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

• Technical ability to operate multiple computer screens and software applications simultaneously.

• Ability to maintain strong performance in a fast-paced environment with productivity metrics.

• Capable of remaining organized while multitasking.

• Strong critical thinking and problem-solving abilities.

• Excellent verbal and written communication skills, both clear and professional.

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

• Must have a private, distraction-free workspace at home.

• Secure internet connection is required.

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

• Workspace must accommodate workstation equipment and related materials.

• Ability to be fully engaged, actively participate, and remain on camera during training sessions.

• Able to commit full attention during scheduled work hours and meet productivity standards.

• Must be able to actively participate on camera.

• Proficient in managing high volumes of inbound and outbound calls while upholding accuracy and productivity standards.

🏝️ Benefits

• Incentive Plan.

• Comprehensive training starting on the first day, lasting 8-10 business days.

• Continuous support from teammates following the training period.

• Access to a robust knowledge base for ongoing reference.

• Visibility of individual performance metrics.

• Provision of computers and necessary work equipment.

• Supportive management involvement.

• Option for a remote work arrangement.