Role Overview
- 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.
- Other duties & special projects, as assigned and based on business needs.
Requirements
- An Associate’s Degree is preferred.
- Business experience in a healthcare and/or insurance setting is preferred.
- Present exceptional communication skills with a clear understanding of company business lines.
- The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
- Computer literacy and typing skills are essential.
Benefits
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.