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🕒 May 15

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Dane Street

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Healthcare Insurance • Compliance • Government

Dane Street is a national leader in Independent Medical Exams and Reviews, providing objective, compliant, and timely Independent Medical Examinations, Peer Reviews, and other medical reports. With a large network of over 16,000 physicians, the company offers its services across 25,000 locations and 100 specialties, including Workers' Compensation, Auto, Liability, and Disability claims. Dane Street supports Insurance Carriers, Third Party Administrators, Managed Care Organizations, and Federal/State entities with expert medical analyses, helping them make accurate determinations. The company is recognized for its quality, fast turnaround times, and efficient processes, earning accolades like the NCQA Accreditation in Utilization Management and the Great Place to Work certification.

📋 Description

• Draft incoming referrals including demographic information, diagnosis, requested due date, and specialty within a timely manner of receipt. • Correctly & accurately complete the intake process by closing the intake according to proper workflow procedures. • Filter through client emails throughout an 8-hour workday providing necessary information to the appropriate referral while also delegating/escalating emails to the appropriate team member. • Assist with Dane Street’s “Intake” to ensure that incoming referrals, records, fee schedules, etc. is uploaded into the respective case timely and with the appropriate notifications made. • Handle outreach emails/calls to clients in order to obtain the necessary information and/or medical records for the case to ensure proper handling. • Requesting and pulling medical records from client platforms such as iCase and uploading them to the respective referrals. Notify the CSR team once medical records are received. • Selecting and assigning incoming referrals. Ensuring the Queues are evenly distributed between CSR’s and QA’s. • Invoicing referrals on the CSR and QA board based on the confirmed physician’s fees and client quotes. • Assisting in auditing referrals with upcoming due dates to ensure the case was processed correctly. • Assisting with physician outreaches and referral assignments when team members are on PTO. • Other duties & special projects, as assigned and based on business needs.

🎯 Requirements

• EDUCATION/CREDENTIALS: • An Associate’s Degree or Bachelor’s Degree is preferred. • JOB RELEVANT EXPERIENCE: • Business experience in a healthcare and/or insurance setting is preferred. • JOB RELATED SKILLS/COMPETENCIES: • 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. • WORKING CONDITIONS/PHYSICAL DEMANDS: • Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. • 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 position.

🏖️ 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. • ABOUT DANE STREET: • A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.