Group Health Customer Service Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

Where this job comes from

Posted on Dane Street's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

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Logo of Dane Street

Dane Street

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚖️ Legal

Healthcare • Consulting • Legal

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

• Intake new cases and review and verify information and requests • Draft cases by entering information into the Dane Street AccessDS system • Contact clients about missing information needed to process claims • Sort, organize, and create medical document listings when required • Monitor, process, and track cases to meet deadlines • Assign and schedule cases to appropriate physicians based on location, availability, guidelines, jurisdictional requirements, and client requirements • Ensure assigned physicians have no conflicts of interest with case assignments • Update clients on cases in progress • Resolve questions about referral information and ensure proper documentation is provided • Ensure required documentation is provided to clients • Communicate with clients and physicians or physicians' offices by phone and email • Process claims support for Workers’ Compensation, Disability, Auto, and Group Health carriers and other claims-management organizations

🎯 Requirements

• Minimum of 1 year of experience working in an administrative or clerical role in a business office environment • Experience working in a healthcare environment preferred • Excellent computer skills; Apple Operating System, Google Chrome, and Gmail preferred • Excellent written and verbal communication skills • High comfort level speaking with referring clients, claimants, and/or physicians • 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 • Must supply and support own internet services • Must maintain an uninterrupted internet connection for work-from-home employment

🏖️ Benefits

• Medical, dental, and vision coverage for employees and their families • Voluntary life insurance for employees, spouses, and children • Voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans • Basic life insurance at no cost • Short-term disability coverage at no cost • Long-term disability coverage at no cost • Paid time off • 401(k) plan with company match • Apple equipment for remote workspace • Media stipend for remote workspace • Competitive compensation • Performance bonuses • Growth potential

Apply Now

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