Disability Peer to Peer Coordinator

🕒 Junho 24

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Dane Street

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🏥 Saúde

💼 Consultoria

⚖️ Jurídico

Healthcare • Consulting • Legal

A Dane Street é líder nacional em Exames e Revisões Médicas Independentes, fornecendo Exames Médicos Independentes (IMEs), Revisões por Pares e outros laudos médicos de forma objetiva, em conformidade e dentro dos prazos. Com uma ampla rede de mais de 16. 000 médicos, a empresa oferece serviços em 25. 000 localidades e 100 especialidades, incluindo sinistros de compensação trabalhista (Workers’ Compensation), automóvel, responsabilidade civil (Liability) e incapacidade (Disability). A Dane Street atende seguradoras, Third-Party Administrators (TPAs), organizações de Managed Care e órgãos federais/estaduais com análises médicas especializadas, ajudando-os a tomar decisões precisas. A empresa é reconhecida pela qualidade, prazos de entrega ágeis e processos eficientes, tendo conquistado credenciais como a Acreditação da NCQA em Utilization Management e a certificação Great Place to Work.

Descrição

• Handling the Coordination of Peer-to-Peer Calls: Obtain availability from a Treating Provider and/or an Independent Physician Advisor and coordinate the call with the two parties. • Work with the CSR team to facilitate peer-to-peer conversations based on availability received. • Inputting/tracking notes into each referral for all correspondences related to a referral between staff, treating providers, and/or IPA reviewers. • Update clients frequently on calls scheduled, pending, missed, etc. • Timely work through faxes received from physician offices to coordinate calls with reviewing physicians.

🎯 Requisitos

• An Associate's Degree is preferred. • Business experience in a healthcare and/or insurance setting is preferred. • Present exceptional communication skills with a clear understanding of company business lines. • The ability to apply critical thinking, manage time efficiently and meet specific deadlines. • Computer literacy and typing skills are essential.

🏖️ Benefícios

• medical, dental, and vision coverage for you and your family. • voluntary life insurance options for you, your spouse, and your children. • other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. • basic life insurance, short-term disability, and long-term disability coverage at no cost. • generous paid time off policy to relax and recharge. • 401k plan with a company match helps you plan for your future. • Apple equipment and a media stipend are provided for remote workspace.