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First name *
Last name
Email address *
Phone *
Alternative phone
Address *
Last employer *
Total years of experience *
Do you have the following skills? *
Excel Proficiency
Strong verbal and written communication
Billing and Account Verification
Attention to Detail
Are you able to work from home?
Select One Option
Yes
No
If so, do you have the following available?
Headset
Laptop / PC
UPS / Generator
High Speed Internet
Webcam
Resume uploads *
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