About the Role
Title: Group Health Customer Service Representative
Location: Remote Remote US
Workplace: Fully remote
Job 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.