Group Health Customer Service Representative

Dane Street is looking for highly motivated candidates to join our team as a Customer Service Representative . Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. A Customer Service Representative is in the center of our critical relationships with our clients, our technical team, and our operations teams. As a member of our team, you will be responsible for the scheduling and selection of reviewers for referrals received within the Dane Street Network. Description of Key Tasks and 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 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. Oversight of Cases: Monitor, process and track cases to ensure we meet deadlines. Assignment of Cases: 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 assignments Client Interaction: Update clients frequently on cases in progress. May communicate when there are questions on referral information to ensure proper documentation and information is p