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