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Group Health Customer Service Representative – Weekend
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.
