- 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.
- 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 assignment.
- Monitor, process and track cases to ensure we meet deadlines.
- 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 SkillsTime ManagementCritical thinking