Group Health Customer Service Representative

Dane Street, LLC

2d•$15 - $19•Remote

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.

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.

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.