Group Health Customer Service Representative

Dane Street; Oregon; Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Retirement plans

Performance bonuses

Apple equipment and media stipend for/

Paid time off

401k with company match

Job summary

Dane Street is seeking a Customer Service Representative to support referral processing and case orchestration within our network. You will intake new cases, verify details, draft case entries, and coordinate with clients, physicians, and internal teams.

The role emphasizes attention to detail, ability to handle multiple tasks in a fast-paced environment, and clear communication. Experience in healthcare settings and proficient use of Apple OS, Chrome, and Gmail are preferred, with compensation

Qualifications

• Minimum 1 year of admin/clerical work experience.
• Healthcare industry experience preferred.
• Excellent written and verbal communication.
• Strong attention to detail in a fast-paced environment.
• Ability to manage multiple tasks and shifting priorities.

Responsibilities

• Intake new cases, verify information, and draft cases in the Dane Street system.
• Coordinate with clients to obtain missing information for processing.
• Sort and organize medical documents per client guidelines.
• Monitor and track cases to meet deadlines.
• Assign cases to physicians based on location, availability, and guidelines.
• Update clients on case progress and document communications.

Skills

Administrative experience

Healthcare environment experience

Attention to detail

Communication skills

Multitasking

Education

Associate's Degree (preferred)

Tools

Apple OS

Gmail

Google Chrome

Job description

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.

Description of Key Tasks and 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 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.

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.

Special Skills and Attributes Required:

• A minimum of 1 year of experience working in an administrative or clerical role in a business office environment is required.
• Experience working in a healthcare (medical office, insurance claims, etc.) environment preferred.
• 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.

Required Education and Experience:

• An Associate's Degree is preferred.

WORK FROM HOME TECHNICAL REQUIREMENTS:

Supply and support their own internet services.Maintaining an uninterrupted internet connection is a requirement of all work-from-home positions.

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.

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.

BenefitsJoin

our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind.

• We offer a range of benefits including medical, dental, and vision coverage for you and your family.
• Additionally, we offer voluntary life insurance options for you, your spouse, and your children.
• We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans.
• Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost.
• Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future.
• Apple equipment and a media stipend are provided for remote workspace.

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.