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
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