Group Health Customer Service Representative

March 23

Dane Street

WebsiteLinkedInAll Job Openings

National Provider of IME and Medical Peer Review Services

IMEs • Physician Advisor Reviews • Peer Reviews • Drug Utilization Reviews

51 - 200

Description

• Handling Receipt of New Cases: Enter new cases and review/verify information and requests. Draft cases by entering information into the Dane Street system, AccessDS. Work with client on any missing information for claim processing. Sort, organize and create medical document listing in line with specific special handling. • Oversight of Cases: Monitor, process and track cases to meet deadlines. • Assignment of Cases: Assign/schedule new cases to physicians for review based on various criteria. Ensure assigned physician has no conflict of interest. • Client Interaction: Update clients frequently on cases in progress. Communicate with clients and physicians for questions on referral information. Ensure proper documentation for specified cases is provided to the client.

Requirements

• A minimum of 1 year of administrative or clerical role experience • Experience in a healthcare environment preferred • Excellent computer skills including Apple OS, Google Chrome, Gmail • Stellar written and verbal communication skills • Ability to maintain focus and attention to detail in a fast-paced environment • Ability to manage multiple tasks and changing priorities • Excellent organizational skills • Associate’s Degree preferred • Supply and support own internet services for work-from-home • Maintaining uninterrupted internet connection for work-from-home positions

Benefits

• Generous Paid Time Off • Excellent benefits package • Competitive salary • Apple equipment and media stipend for remote work space • Strong training program