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.

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

• Communicate with patient employers, insurance company representatives, attorneys, and patients.

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

• Ensure that payments to hospital and medical-provider clients are maximized.

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

• Determine the next steps for bills that are underpaid or unpaid.

• Engage in special projects to meet team objectives and promote client success.

• Attend and actively participate in 8-10 business days of on-camera training.

⛳️ Requirements

• Must reside in the United States within one of the specified eligible states.

• Employment eligibility to work in the United States is required.

• Successful completion of a background check is necessary.

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

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

• Capability to maintain strong performance in a dynamic environment with productivity metrics.

• Ability to stay organized while multitasking.

• Strong critical thinking and problem-solving skills.

• Clear and professional verbal and written communication skills.

• Full attention during scheduled work hours with productivity tracking.

• Active participation on camera is required.

• Ability to handle a high volume of inbound and outbound calls while ensuring accuracy and meeting productivity standards.

• A private, distraction-free home work environment is essential.

• Secure internet connection is mandatory.

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

• Workspace should accommodate workstation equipment and related materials.

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

🏝️ Benefits

• Incentive Plan.

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

• Ongoing support from team members after training.

• Extensive knowledgebase for continued reference.

• Individual performance metrics for goal setting.

• Computers and necessary work equipment provided.

• Supportive management involvement.

• Remote work from home option.

• Secure internet and home office requirements supported with provided equipment.