Group Health Customer Service Representative – Weekend

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Job Description:

  • 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.

Requirements:

  • 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.

Benefits:

  • 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.
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