Group Health Customer Service Representative

Dane Street, LLC

8h•Remote

About The Position

Dane Street is seeking a motivated Customer Service Representative to manage scheduling and reviewer selection for referrals received through its network. The role sits at the center of relationships among clients, technical staff, and operations teams, and involves substantial communication with clients and physicians or physicians’ offices by phone and email, as well as frequent computer work. The representative handles new-case intake, verifies referral information, enters case details into AccessDS, follows up with clients about missing information, and prepares medical document listings when required. The role also monitors cases and deadlines, assigns cases to suitable physicians based on availability, location, guidelines, jurisdictional requirements, and client specifications, and checks for conflicts of interest. Representatives keep clients updated on cases and help ensure that reviewers and clients receive the required information and documentation. This is a work-from-home position. Employees must supply and support their own internet service and maintain an uninterrupted connection. Dane Street provides Apple equipment and a media stipend for the remote workspace. Beginning compensation depends on experience, education, and skills. The company describes itself as a fast-paced, high-performance organization that processes insurance claims and provides independent medical exam and peer review programs.

Requirements

At least 1 year of experience in an administrative or clerical role in a business office environment.
Excellent computer skills.
Strong written and verbal communication skills, including comfort speaking with referring clients, claimants, and physicians.
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.
For remote work, supply and support personal internet service and maintain an uninterrupted connection.

Nice To Haves

Experience in a healthcare environment, such as a medical office or insurance claims.
Familiarity with Apple operating systems, Google Chrome, and Gmail.
An Associate’s Degree.

Responsibilities

Intake new cases and review and verify case information and requests.
Enter case information into Dane Street’s AccessDS system.
Work with clients to obtain information needed to process claims.
Sort and organize medical documents and create document listings when required by the client and applicable handling instructions.
Monitor, process, and track cases to meet deadlines.
Assign and schedule cases with appropriate physicians based on location, reviewer availability, guidelines, jurisdictional requirements, and client requirements.
Ensure physicians have no conflict of interest with assigned cases.
Frequently update clients on cases in progress.
Communicate with clients about questions on referral information to ensure appropriate documentation and information are provided to the assigned reviewer.
Ensure required documentation for specified cases is provided to clients.

Benefits

Health insurance, including medical, dental, and vision coverage for employees and their families.
Voluntary life insurance options for employees, spouses, and children.
Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
Basic life insurance at no cost.
Short-term disability coverage at no cost.
Long-term disability coverage at no cost.
Paid time off.
401(k) plan with company match.
Performance bonuses.
Apple equipment and a media stipend for the remote workspace.