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 investigate, bill, and optimize payments on medical claims to insurance companies on behalf of hospitals and healthcare providers.

• Examine 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 relevant payers.

• Assess payer information and documentation when bills are incorrectly paid to determine subsequent actions.

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

⛳️ Requirements

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

• Eligibility to work in the United States.

• Successful completion of a background check is required.

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

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

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

• Ability to stay organized while handling multiple tasks.

• Strong critical thinking and problem-solving skills.

• Clear and professional verbal and written communication skills.

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

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

• Secure internet connection required.

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

• Workspace must accommodate all workstation equipment and related materials.

• Must be able to actively participate and remain on camera during training and regular work responsibilities.

• Capability to manage a high volume 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 post-training.

• Access to a comprehensive knowledge base.

• Transparency regarding individual performance metrics.

• Computers and necessary work equipment will be provided.

• Supportive management involvement.

• Remote work from home opportunity.

• Affirmative Action/Equal Opportunity Employer.