Group Health Customer Service Representative (Weekend)

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About the position

Dane Street is looking for highly motivated candidates to join our team as a Customer Service Representative. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. A Customer Service Representative is in the center of our critical relationships with our clients, our technical team, and our operations teams. As a member of our team, you will be responsible for the scheduling and selection of reviewers for referrals received within the Dane Street Network.

Responsibilities

  • Intake new cases and review/verify information and requests.
  • Draft cases by entering information into the Dane Street system, AccessDS.
  • Work with client on any information missing pertinent to processing claim.
  • Sort, organize and create medical document listing - if required by client, and in line with specific special handling.
  • Monitor, process and track cases to ensure we meet deadlines.
  • Assign/schedule new cases to physicians for review with the appropriate physician, based on location, reviewer availability, specific guidelines, jurisdictional requirements and other client requirements.
  • Ensure that the assigned physician has no conflict of interest with the case assignments.
  • Update clients frequently on cases in progress.
  • May communicate when there are questions on referral information to ensure proper documentation and information is provided to the assigned reviewer.
  • Ensure proper documentation for specified cases is provided to the client.

Requirements

  • A minimum of 1 year of experience working in an administrative or clerical role in a business office environment is required.
  • Excellent computer skills (Apple Operating System, Google Chrome search engine, Gmail are preferred).
  • Stellar written and verbal communication skills, including a high comfort level in speaking with the referring client, claimants, and/or physician.
  • 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.
  • Supply and support their own internet services.
  • Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.

Nice-to-haves

  • Experience working in a healthcare (medical office, insurance claims, etc.) environment preferred.

Benefits

  • health insurance
  • retirement plans
  • performance bonuses
  • medical
  • dental
  • vision coverage
  • voluntary life insurance options
  • hospital indemnity
  • critical illness
  • accident indemnity
  • pet insurance plans
  • basic life insurance
  • short-term disability
  • long-term disability coverage
  • paid time off
  • 401k plan with a company match
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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

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When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

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The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

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