Group Health Customer Service Representative

Dane Street; United States; Remote; USD 34,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Retirement plans

Performance bonuses

Apple equipment

Remote work stipend

Job summary

Dane Street is seeking a Customer Service Representative to coordinate referrals and manage case intake from clients and physicians. You will schedule reviewers, verify information, and ensure proper documentation while maintaining strong communication with all parties.

This role emphasizes accuracy, fast-paced prioritization, and teamwork in a healthcare-focused environment. A minimum of one year in an administrative setting is preferred, with an Associate’s degree recommended; remote work is

Qualifications

• Minimum of 1 year of experience in an administrative or clerical role in a business office environment is required.
• Experience in a healthcare environment preferred (medical office, insurance claims, etc.).
• Excellent computer skills (Apple OS, Google Chrome, Gmail preferred).
• Stellar written and verbal communication skills with clients, claimants, and physicians.
• Ability to maintain focus and attention to detail in a fast-paced environment.
• Ability to manage multiple tasks and changing priorities.
• Excellent organizational skills.

Responsibilities

• Handle receipt of new cases: intake, verify information, draft cases in the Dane Street system; assist clients with missing information; create medical document lists when required.
• Oversight of cases: monitor, process and track cases to meet deadlines.
• Assignment of cases: assign/schedule cases to physicians based on location, availability, and guidelines; ensure no conflicts of interest.
• Client interaction: update clients on cases, request additional information as needed, and ensure proper documentation is provided to the reviewer and client.

Skills

Administrative experience

Healthcare experience

Written and verbal communication

Computer skills

Multitasking

Attention to detail

Education

Associate’s Degree

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:

This position involves a substantial amount of communication with clients and physicians/physicians office via phone and email, and constant computer work. Therefore, candidates MUST possess the following skills/experience:

• 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.

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.

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.

Join 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.