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Group Health Customer Service Representative (Weekend)
About the position
Dane Street is looking for highly motivated candidates to join our team as a Customer Service Representative. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. A Customer Service Representative is in the center of our critical relationships with our clients, our technical team, and our operations teams. As a member of our team, you will be responsible for the scheduling and selection of reviewers for referrals received within the Dane Street Network.
Responsibilities
- Intake new cases and review/verify information and requests.
- Draft cases by entering information into the Dane Street system, AccessDS.
- Work with client on any information missing pertinent to processing claim.
- Sort, organize and create medical document listing - if required by client, and in line with specific special handling.
- Monitor, process and track cases to ensure we meet deadlines.
- Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements and other client requirements.
- Ensure that the assigned physician has no conflict of interest with the case assignments.
- Update clients frequently on cases in progress.
- May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer.
- Ensure proper documentation for specified cases is provided to the client.
Requirements
- A minimum of 1 year of experience working in an administrative or clerical role in a business office environment is required.
- Excellent computer skills (Apple Operating System, Google Chrome search engine, Gmail are preferred).
- Stellar written and verbal communication skills, including a high comfort level in speaking with the referring client, claimants, and/or physician.
- Ability to maintain focus and attention to detail in a fast-paced environment.
- Ability to manage multiple tasks and quickly changing priorities.
- Excellent organizational skills.
- Supply and support their own internet services.
- Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.
Nice-to-haves
- Experience working in a healthcare (medical office, insurance claims, etc.) environment preferred.
Benefits
- health insurance
- retirement plans
- performance bonuses
- medical
- dental
- vision coverage
- voluntary life insurance options
- hospital indemnity
- critical illness
- accident indemnity
- pet insurance plans
- basic life insurance
- short-term disability
- long-term disability coverage
- paid time off
- 401k plan with a company match