Customer Service Representative

New
D
Dane Street Government ServicesHealthcare Services
United StatesFull-TimeEntry
Salary not disclosed
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Job Details

Required Skills
Customer serviceQuality AssuranceHIPAAData entry

Requirements

  • Associate's degree or equivalent practical experience.
  • Professional experience in a healthcare, insurance, or government services setting.
  • Experience managing high-volume email correspondence.
  • Strong computer literacy and typing speed.
  • Comfort navigating multiple software databases, web portals, and email systems simultaneously.
  • Exceptional written and verbal communication skills.
  • Strong attention to detail and time-management capabilities.
  • Sound critical-thinking skills.
  • Ability to work in an environment free from distractions.
  • Prior experience with the No Surprises Act (NSA), Federal IDR, CMS processes, or healthcare dispute resolution is preferred.
  • Background in healthcare claims, billing, or quality assurance/auditing is preferred.

Responsibilities

  • Monitor the NSA IDRE inbox continuously to prioritize, process, and route incoming case communications and documentation.
  • Track case progress against NSA IDR workflows and coordinate with Arbitrators and internal teams.
  • Perform duties in compliance with NSA, Federal IDR, CMS, and HIPAA guidelines while safeguarding PHI.
  • Deliver professional written and phone communication to stakeholders including clients, providers, and Arbitrators.
  • Participate in quality assurance reviews of Arbitrator determinations to ensure accuracy and consistency.
  • Monitor case aging and workload reports to identify bottlenecks and escalate potential non-compliance.
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