Experienced Customer Operations Specialist – Workers Compensation Claims

Are you a motivated and detail-oriented individual looking to make a difference in the healthcare industry? Do you thrive in a fast-paced environment and enjoy working with people to resolve complex issues? If so, we encourage you to apply for the Customer Operations Specialist – Workers Compensation Claims role at careerzynith. As a key member of our team, you will play a critical role in investigating, billing, and maximizing payments on medical claims to insurance companies on behalf of our clients (hospitals and medical providers).

About careerzynith

careerzynith has been at the forefront of specialized claims management for over 25 years, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. Our collaborative and diverse culture offers a great work/life balance, making us an ideal choice for those seeking a fulfilling career.

Perks of Working at careerzynith

* Paid training and incentive plans

• Comprehensive medical, dental, vision, and life insurance benefits available from the first day of employment
• Excellent work/life balance
• Employee Resource Groups that build community and foster a culture of belonging and inclusion
• 401(k) matching program
• Career growth opportunities
• 12 paid holidays and generous paid time off
• Competitive hourly rate of $15

The Role: Customer Operations Specialist – Workers Compensation Claims

As a Customer Operations Specialist – Workers Compensation Claims at careerzynith, you will be responsible for making high-volume, outbound calls to investigate, bill, and maximize payments on medical claims to insurance companies on behalf of our clients. Your day will be filled with:

• Investigating and resolving troubled and/or denied workers' compensation claims
• Making a high volume of outbound calls to patient employers, insurance company representatives, attorneys, and patients
• Submitting bills and proper documentation to the insurance company or the appropriate payer, ensuring maximized payments to our clients
• Reviewing information/documentation provided by the payer to determine the next steps
• Contributing to your team by participating in special projects to achieve goals and ensure client success

Training and Support

Our comprehensive training program begins on your first day and lasts 8-10 business days. You will receive extensive multi-week training with ongoing support from teammates following training. You will also have access to a robust knowledgebase for continued reference in your role.

Requirements

To be successful in this role, you will need:

• A working knowledge of Microsoft Office (Word, Excel, Outlook)
• Technical proficiency to work on multiple computer screens and software applications simultaneously
• Strong performance in a fast-paced environment with productivity metrics
• Ability to remain organized while multi-tasking
• Critical thinking and problem-solving skills to find effective and efficient solutions
• Excellent communication and interpersonal skills, both verbally and in writing
• Ability to work in a distraction-free environment with a secure internet connection
• Residency in the United States within one of the following states: Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia

How We'll Set You Up for Success

* Extensive multi-week training with ongoing support from teammates following training

• Access to a robust knowledgebase for continued reference in your role
• Visibility to your individual performance metrics to set goals
• Computers and necessary work equipment provided
• Involved management who leans in to support your productivity metrics

Work at Home Requirements

* A private, distraction-free environment to work from in your home

• On-Camera Presence: Being on camera is an essential part of our culture – it helps build trust, support collaboration, and strengthen team connections
• Secure internet connection required
• Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads
• Workspace area that accommodates all workstation equipment and related materials and provides adequate surface area to be productive

Equal Opportunity Employer

careerzynith is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

How to Apply

If you're a motivated and detail-oriented individual looking to make a difference in the healthcare industry, we encourage you to apply for the Customer Operations Specialist – Workers Compensation Claims role at careerzynith. Visit our website to learn more and submit your application today. Apply for this job