IME Customer Service Administrator

October 11

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Dane Street

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IMEs • Physician Advisor Reviews • Peer Reviews • Drug Utilization Reviews

51 - 200 employees

⚕️ Healthcare Insurance

📋 Compliance

🏛️ Government

Description

• JOB SUMMARY • The Customer Service Representative Administrator will be responsible for overseeing the administrative duties that are related to the customer service 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. • Major Duties & Responsibilities: • Draft incoming referrals including demographic information, diagnosis, requested due date, and specialty within a timely manner of receipt. • Correctly & accurately complete the intake process by closing the intake according to proper workflow procedures. • Filter through client emails throughout an 8-hour workday providing necessary information to the appropriate referral while also delegating/escalating emails to the appropriate team member. • Assist with Dane Street’s “Intake” to ensure that incoming referrals, records, fee schedules, etc. is uploaded into the respective case timely and with the appropriate notifications made. • Handle outreach emails/calls to clients in order to obtain the necessary information and/or medical records for the case to ensure proper handling. • Requesting and pulling medical records from client platforms such as iCase and uploading them to the respective referrals. • Notify the CSR team once medical records are received. • Selecting and assigning incoming referrals. • Ensure the Queues are evenly distributed between CSR’s and QA’s. • Invoicing referrals on the CSR and QA board based on the confirmed physician’s fees and client quotes. • Assisting in auditing referrals with upcoming due dates to ensure the case was processed correctly. • Assisting with physician outreaches and referral assignments when team members are on PTO. • Other duties & special projects, as assigned and based on business needs.

Requirements

• EDUCATION/CREDENTIALS: • An Associate’s Degree or Bachelor’s Degree is preferred. • JOB RELEVANT EXPERIENCE: • Business experience in a healthcare and/or insurance setting is preferred. • JOB RELATED SKILLS/COMPETENCIES: • 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. • WORKING CONDITIONS/PHYSICAL DEMANDS: • Any lifting, bending, traveling, etc. required to do the job duties listed above. • Long periods of sitting and computer work. • WORK FROM HOME TECHNICAL REQUIREMENTS: • Supply and support their own internet services. • Maintaining an uninterrupted internet connection is a requirement of all work from home position.

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. • 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.