Group Health Customer Service Representative

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.

Description of Key Tasks and Responsibilities:

• Handling Receipt of New Cases:
• 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.

• Oversight of Cases:
• Monitor, process and track cases to ensure we meet deadlines.

• Assignment of Cases:
• 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

• Client Interaction:
• 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.

Special Skills and Attributes Required:

This position involves a substantial amount of communication with clients and physicians/physicians office via phone and email, and constant computer work. Therefore, candidates MUST possess the following skills/experience:

• A minimum of 1 year of experience working in an administrative or clerical role in a business office environment is required.
• Experience working in a healthcare (medical office, insurance claims, etc.) environment preferred.
• 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.

Required Education and Experience:

• An Associate’s Degree is preferred.

WORK FROM HOME TECHNICAL REQUIREMENTS:

Supply and support their own internet services.

Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

Benefits

We offer generous Paid Time Off, excellent benefits package and a competitive salary. Apple equipment and media stipend is provided for remote work space. Come up to speed quickly with our strong training program! If you want to work in an exciting, fast-paced environment where you can provide meaningful contributions, then we encourage you to apply.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.