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Group Health Customer Service Representative – Weekend
Dane StreetCustomer Service Representative managing client relationships and case assignments for Dane Street's insurance claims process. Intake, oversight, and communication with clients and physicians required.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong organizational and communication skills while managing case intake, tracking, and client interactions in a healthcare environment. Proficient in utilizing technology to streamline administrative processes and ensure accurate documentation.
Highest-signal resume keywords
Case ManagementHealthcare AdministrationClient CommunicationAttention to DetailOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryDocument ManagementCase TrackingInformation VerificationAdministrative Support
Soft Skills
Written CommunicationVerbal CommunicationMultitaskingFocusAdaptability
Tools & Technologies
Dane Street SystemAccessDSApple Operating SystemGoogle ChromeGmail
Industry Keywords
Medical OfficeInsurance ClaimsClient InteractionJurisdictional RequirementsSpecial Handling
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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.