Group Health Customer Service Representative at Dane Street, LLC

, , United States -

Full Time

Start Date

Immediate

Expiry Date

20 May, 26

Salary

19.0

Posted On

19 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Case Intake, Data Entry, Case Monitoring, Physician Scheduling, Conflict Of Interest Checking, Client Communication, Email Communication, Phone Communication, Computer Skills, Attention To Detail, Task Management, Priority Management, Organizational Skills, Written Communication, Verbal Communication

Industry

Insurance

Description

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. 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. Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses. Our Commitment: We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for all employees. Compensation Range: $15.00 - $19.00/hr USD Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful 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 Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

Responsibilities

Key tasks involve handling the intake, verification, and drafting of new cases into the AccessDS system, and ensuring proper documentation is gathered for processing. Responsibilities also include monitoring case progress, assigning cases to appropriate physicians based on various criteria, and frequently updating clients on case status.