Group Health Customer Service Representative – Weekend

Job Description:

  • 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 provided to the assigned reviewer.
  • Ensure proper documentation for specified cases is provided to the client.

Requirements:

  • A minimum of 1 year of experience working in an administrative or clerical role in a business office environment is required.
  • Experience working in a healthcare (medical office, insurance claims, etc.) environment preferred.
  • Excellent computer skills (Apple Operating System, Google Chrome search engine, Gmail are preferred).
  • Stellar written and verbal communication skills, including a high comfort level in speaking with the referring client, claimants, and/or physician.
  • Ability to maintain focus and attention to detail in a fast-paced environment.
  • Ability to manage multiple tasks and quickly changing priorities.
  • Excellent organizational skills.

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.
Back to blog

Other Jobs To Apply

No other job posts for this day.

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...