Customer Service Representative

Location Type: Remote Employment Type: Full-time Compensation Range: $15.00 - $21.00/hr USD

Position Overview

The Customer Service Representative (CSR) is responsible for the receipt of new cases, ensuring proper system drafting and setup. The CSR also takes direction and facilitates the case assignment and scheduling process.

Major Duties & Responsibilities

Handling Receipt of New Cases

• Intake new cases and review/verify information and requests.
• Draft cases by entering information into the Dane Street system, AccessDS.
• Work with the client on any missing information pertinent to processing the claim.
• Sort, organize, and create a medical document listing if required by the client and in line with specific special handling.

Oversight of Cases

• Monitor, process, and track cases to ensure deadlines are met.

Assignment of Cases

• 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 assignments.

Client Interaction

• 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.

Requirements

Communication

• External communication
• Internal communication

Education/Credentials

• An Associate’s Degree is preferred.

Job Relevant Experience

• Business experience in a healthcare and/or insurance setting is preferred.

Job Related Skills/Competencies

• Good communication skills with a clear understanding of company business lines.
• Ability to apply critical thinking.
• Ability to manage time efficiently and meet specific deadlines.
• Computer literacy and typing skills are essential.

Working Conditions/Physical Demands

• May involve lifting, bending, or traveling as required to perform job duties.
• Involves long periods of sitting and computer work.

Compensation and Benefits

Compensation

• Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills.
• In addition to base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.
• Our commitment is to provide fair and competitive compensation that reflects each employee's contributions and performance.

Benefits

• Medical, dental, and vision coverage for you and your family.
• Voluntary life insurance options for you, your spouse, and your children.
• Other voluntary benefits include 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 are provided for remote workspace.

About Dane Street

Dane Street is a fast-paced, Inc. 500 Company with a high-performance culture, 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. We value diversity and strive to create an inclusive environment for all employees.