Disability Customer Service Representative

Dane Street; EE. UU.; A distancia; USD 40.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Retirement plans

Performance bonuses

401k with company match

Remote workspace stipend

Apple equipment provided

Descripción de la vacante

Dane Street is seeking a Customer Service Representative to intake new cases, draft entries in the Dane Street system (AccessDS), and coordinate case assignments with physicians.

This role emphasizes timely communication with clients, attention to detail, and the ability to manage multiple tasks in a fast-paced healthcare-insurance environment. Associate degree preferred; healthcare experience desired.

Formación

• Experience in healthcare or insurance settings preferred.
• Strong communication and interpersonal skills.
• Proficient with data entry and basic computer skills.

Responsabilidades

• Intake new cases and draft case entries in the Dane Street system (AccessDS).
• Monitor case progress and ensure deadlines are met.
• Assign and schedule cases to physicians based on guidelines and availability.
• Update clients on case status and gather missing information.

Conocimientos

Communication skills

Organization

Time management

Attention to detail

Educación

Associate’s Degree preferred

Descripción del empleo

The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process.

MAJOR DUTIES & RESPONSIBILITIES

• Handling Receipt of New Cases:
  • Intake new cases and review/verify information and requests. Draft cases by entering information into the Dane Street system, AccessDS.
  • Work with the client on any information missing pertinent to processing the claim.
  • Sort, organize and create a medical document listing - if required by the client, and in line with specific special handling.
• Oversight of Cases:
  • Monitor, process and track cases to ensure we meet deadlines.
• Assignment of Cases:
  • 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
• Client Interaction:
  • 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.

COMMUNICATION

• External
• Internal

EDUCATION/CREDENTIALS

An Associate’s Degree preferred.

JOB RELEVANT EXPERIENCE

Business experience in a healthcare and/or insurance setting is preferred.

JOB RELATED SKILLS/COMPETENCIES

Good communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.

WORKING CONDITIONS/PHYSICAL DEMANDS

Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.

COMPENSATION & BENEFITS

Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.

• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Generous paid time off policy.
• 401k plan with a company match.
• Apple equipment and a media stipend are provided for remote workspace.

OUR COMMITMENT

We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for all employees.

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.