Role Description We are seeking an experienced Medical Billing & Claims Specialist Virtual Assistant to support our growing healthcare team as we transition our billing operations in-house. The ideal candidate will have hands-on experience with medical billing, insurance claims processing, pre-authorizations, and payer follow-up. Experience with Availity is highly preferred. In addition to billing-related responsibilities, this individual will assist with administrative tasks to help ensure smooth daily operations. Key Responsibilities - Process and submit medical claims accurately and in a timely manner - Follow up on outstanding claims with insurance companies - Research and resolve denied, rejected, or unpaid claims - Track claim status and ensure proper reimbursement - Review Explanation of Benefits (EOBs) and payment postings - Verify patient insurance eligibility and benefits - Submit and track prior authorizations (pre-auths) - Coordinate with providers, insurance carriers, and patients regarding billing concerns - Maintain accurate billing documentation and records - Assist with general administrative and clerical tasks - Maintain and update patient records and databases - Manage emails and billing-related correspondence - Support scheduling and other operational workflows as needed - Assist with reporting and documentation requests Qualifications - Previous experience in medical billing and claims processing required - Strong understanding of insurance verification, claims follow-up, denials management, and prior authorizations - Experience using Availity strongly preferred - Familiarity with EMR/EHR systems and medical billing software - Excellent attention to detail and organizational skills - Strong written and verbal communication skills - Ability to work independently and manage multiple priorities - Comfortable working in a fast-paced healthcare environment Basic Requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] - Must be available for video meetings with your camera on (when needed) Technical Requirements - Device: Reliable laptop or desktop computer - Internet: High-speed connection (minimum 25 Mbps) - Audio: Noise-canceling headset - Video: Webcam for virtual meetings - Workspace: Quiet, professional environment Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance

Title: W/C INSURANCE CLAIMS SPECIALIST 2 Location: Phoenix, AZ, United States Full-time Option for Remote Work Job Description: INDUSTRIAL COMMISSION Are you ready to work for an exceptional state agency that works to protect the life, health, safety, and welfare of the employees in the State of Arizona? Apply with us! The Industrial Commission of Arizona (ICA) is committed to the highest standards of compliance, demonstrating leadership in all areas, and teaching and working with employers and employees to make them successful. A thriving workforce in Arizona is what we strive for and work towards each day. W/C INSURANCE CLAIMS SPECIALIST 2 Job Location: Address: Claims Division/Compliance Section 800 W. Washington Street, Phoenix, AZ 85007 Posting Details: Salary: $17.05 - $17.60 Grade: 17 Job Summary: This position is responsible to audit incoming claims documents for compliance with applicable workers compensation claims management laws, statutes, and case laws. This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State's Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. Job Duties: Essential Duties and Responsibilities include but are not limited to: ● This position will critically analyze submitted forms for compliance and issue appropriate awards when indicated. ● Audit insurance carriers, self-insured employers and third-party administrators adjusting workers' compensation claims. ● Reviews all notices, attached medical and/or documentation to verify it supports current change of status and/or calculation of wage and awards. After analysis, specialist will issue correct corresponding award, notification, or document. ● Answer incoming phone calls from injured workers, attorneys, interested parties, claim adjusters, medical providers, and the general public. ● Matches documents lacking information to existing Commission claims files by researching information in Claims database and for creating a new claim file for documents received when there is no existing claim file. ● Provides backup assistance to data entry, error resolution, insurance or combine/delete, as requested and ● Participates in Arizona Management System (AMS) and daily Huddle board. ● Attends staff meetings, seminars, conferences, training classes. Knowledge, Skills & Abilities (KSAs): Knowledge in ● Basic knowledge or ability to learn of applicable workers compensation claims management laws, statutes, and case laws. ● Basic Medical terminology. ● Microsoft Office Suite; Outlook, Word, Excel, Google Office Suite, Gmail, Sheets and Docs ● Basic English ● Basic Mathematics ● The insurance industry claims adjusting standards and practices. ● Skill in: ● Communicating verbally and in writing to resolve disputes with interested parties. ● Basic analysis of insurance, medical and legal documents. ● Reviewing and interpreting Arizona Workers' Compensation laws, rules, procedures, and court decisions ● Critical thinking ● Time Management ● Initiative and attention to detail ● Customer service ● Organizing and planning ● Basic Business process acumen, management skills including workflows and information management. ● Ability to: ● Interpret medical records to determine physical limitations for injured workers. ● Manage heavy workload with high level of accuracy and production. ● Learn computer systems and applications. ● Work well within a diverse and inclusive office environment. ● Process documents in a timely manner and within established productivity standard. ● Prioritizes work within established time frames. ● Manage time effectively and meet deadlines. ● Adapt to changing circumstances. ● Demonstrate initiative and attention to detail. ● Exercise discretion and judgment. ● Works well under pressure. ● Perform job responsibilities incorporating lean management and principles of the Arizona Management System. ● Produce high quality, nearly error-free output. Selective Preference(s): The ideal candidate for this position will have: Claims adjusting license, certification (WCCA, WCCP, CPCU) or designation relating to workers' compensation. Pre-Employment Requirements: All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The Arizona Department of Administration offers a comprehensive benefits package to include: Sick leave Vacation with 10 paid holidays per year Health and dental insurance Retirement plan Life insurance and long-term disability insurance Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: You will be eligible to participate in the state employee health/disability insurance plan, and you are required to participate in the Arizona State Retirement System (ASRS). ASRS participation may begin immediately or upon your 27th week of employment. Contributions are matched by the employer. Contact Us: If you have any questions please feel free to call 602-542-5559 or email HR@azica.gov for assistance.

Role Description At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Qualifications - Bachelor’s degree or 4-year degree from an accredited institution preferred. - Candidates possessing a Bachelor’s degree will receive preferential treatment. Others with proven experience will be considered. - Active listening skills. - Problem-solving mindset. - Adaptable to changes in procedures and technology. - Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT). - Strong verbal and written communication skills. - Strong time management and ability to multi-task. - Detail-oriented. - Curious, learning-focused mindset. Requirements - Participate in Structured Learning: Engage in instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers’ compensation regulations. - Shadow Claims Experts: Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers’ compensation claims. - Practice in a Simulated Environment ("Sandbox"): Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. - Complete Program Milestones: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career. - Collaborate and Network: Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization. - Gradual Claim Ownership: Begin handling new workers’ compensation claims starting in Week 3 of the program. - Support Claims Management: Take ownership of an evolving portfolio of indemnity claims under close supervision. - Claims Analysis and Learning: Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials. - Stakeholder Communication: Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees. - Client Service Instructions & Carrier Guidelines: Learn how to interpret and apply client service instructions and carrier guidelines. - Reserving Acumen: Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

• Analyze and process low to mid-level auto and transportation claims • Processes auto property damage and lower level injury claims • Assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy • Develops and maintains action plans to ensure state required contract deadlines are met and to move the file towards prompt and appropriate resolution • Identifies and pursues subrogation opportunities; secures and disposes of salvage • Communicates claim action/processing with insured, client, and agent or broker when appropriate • Maintains professional client relations • Performs coverage, liability, and damage analysis on all claims assignments • Performs other duties as assigned • Supports the organization's quality program(s) • Travels as required