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 information missing pertinent to processing the claim
Sort, organize and create a medical document listing if required by the client
Monitor, process and track cases to ensure deadlines are met
Assign/schedule new cases to physicians for review based on location, reviewer availability, guidelines, jurisdictional requirements and client requirements
Ensure assigned physicians have no conflict of interest with case assignments
Update clients frequently on cases in progress
Communicate questions on referral information to ensure proper documentation for reviewers
Ensure proper documentation for specified cases is provided to the client
Requirements
External communication
Internal communication
An Associate’s Degree preferred
Business experience in a healthcare and/or insurance setting is preferred
Good communication skills with a clear understanding of company business lines
Ability to apply critical thinking, manage time efficiently and meet specific deadlines
Computer literacy and typing skills
Ability to sit for long periods and perform computer work