Group Health Customer Service Representative

This is a fully remote position, open to applicants in United States.

📋 Description

• Intake new cases and assess as well as confirm information and requests.

• Draft cases by inputting data into the Dane Street AccessDS system.

• Reach out to clients regarding missing information necessary for processing claims.

• Sort, organize, and compile medical document listings when necessary.

• Monitor, process, and track cases to ensure deadlines are met.

• Assign and schedule cases to suitable physicians based on location, availability, guidelines, jurisdictional requirements, and client specifications.

• Confirm that assigned physicians have no conflicts of interest with case assignments.

• Provide updates to clients on cases currently in progress.

• Address inquiries regarding referral information and ensure adequate documentation is provided.

• Guarantee that essential documentation is supplied to clients.

• Communicate with clients and physicians or their offices via phone and email.

• Facilitate claims support for Workers’ Compensation, Disability, Auto, and Group Health carriers along with other claims-management organizations.

⛳️ Requirements

• At least 1 year of experience in an administrative or clerical position within a business office setting.

• Experience in a healthcare environment is preferred.

• Proficient computer skills; familiarity with Apple Operating System, Google Chrome, and Gmail is preferred.

• Outstanding written and verbal communication abilities.

• High comfort level when interacting with referring clients, claimants, and/or physicians.

• Capability to maintain focus and attention to detail in a fast-paced environment.

• Ability to juggle multiple tasks and adapt to rapidly shifting priorities.

• Exceptional organizational skills.

• Must provide and support personal internet services.

• Must maintain a stable internet connection for remote work.

🏝️ Benefits

• Medical, dental, and vision coverage for employees and their families.

• Voluntary life insurance available for employees, spouses, and children.

• Options for voluntary hospital indemnity, critical illness, accident indemnity, and pet insurance plans.

• Basic life insurance provided 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 matching.

• Apple equipment for remote workspaces.

• Media stipend for remote workspaces.

• Competitive compensation.

• Performance bonuses.

• Opportunities for professional growth.