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.
IME Workers Compensation Customer Service Representative
Location
United States
Posted
16 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
IME Workers Compensation Customer Service Representative
Dane Street, LLC
Role Description The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process. Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results. Qualifications - An Associate’s Degree is preferred. Requirements - 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 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. - 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. - Other duties & special projects, as assigned and based on business needs. Benefits - Comprehensive benefits package designed to support well-being and peace of mind. - Medical, dental, and vision coverage for you and your family. - Voluntary life insurance options for you, your spouse, and your children. - Other voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans. - Basic life insurance, short-term disability, and long-term disability coverage at no cost. - Generous paid time off policy. - 401k plan with a company match. - Apple equipment and a media stipend for remote workspace.
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