Group Health Customer Service Representative – Weekend

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

📋 Description

• Management of New Case Receipts:

• Accept and evaluate new cases, verifying the information and requests submitted.

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

• Collaborate with clients to gather any missing information essential for claim processing.

• Organize and compile a list of medical documents if required by the client, adhering to specific special handling protocols.

• Case Oversight:

• Supervise, process, and track cases to guarantee deadlines are met.

• Case Assignment:

• Allocate and schedule new cases to physicians for review, matching the appropriate physician based on location, availability, specific guidelines, jurisdictional needs, and additional client specifications.

• Confirm that the assigned physician has no conflicts of interest regarding the case assignments.

• Client Engagement:

• Regularly update clients on the status of ongoing cases.

• Communicate with clients when clarification is needed on referral information to ensure that accurate documentation is provided to the assigned reviewer.

• Ensure that appropriate documentation for designated cases is supplied to the client.

⛳️ Requirements

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

• Experience in a healthcare setting (such as a medical office or insurance claims) is preferred.

• Strong computer skills, particularly with Apple Operating System, Google Chrome, and Gmail are preferred.

• Exceptional written and verbal communication abilities, with a high level of comfort in conversing with referring clients, claimants, and/or physicians.

• Capability to maintain concentration and attention to detail in a dynamic environment.

• Proficient in managing multiple tasks and adapting to rapidly changing priorities.

• Outstanding organizational skills.

🏝️ Benefits

• Become part of our team at Dane Street and benefit from a comprehensive package aimed at enhancing your well-being and peace of mind.

• We provide a variety of benefits, including medical, dental, and vision coverage for you and your family.

• Additionally, voluntary life insurance options are available for you, your spouse, and your children.

• Other voluntary benefits include hospital indemnity, critical illness, accident indemnity, and pet insurance plans.

• Employees are provided with basic life insurance, short-term disability, and long-term disability coverage at no expense.

• Our generous paid time off policy allows you time to relax and rejuvenate, while our 401k plan with company matching aids in your future planning.

• Apple equipment and a media stipend are provided to support your remote work environment.