Physician Advisory Services Customer Service Representative
D
Dane Street, LLCInsurance
Workable locations: United StatesFull-Time
Salary not disclosed
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Job Details
- Required Skills
- Communication SkillsTime ManagementCritical thinking
Requirements
- Associate's Degree preferred
- Business experience in healthcare and/or insurance preferred
- Exceptional communication skills
- Clear understanding of company business lines
- Ability to apply critical thinking
- Efficient time management
- Ability to meet specific deadlines
- Computer literacy
- Typing skills
- Supply and support own internet services
- Maintain uninterrupted internet connection
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.
- 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.
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