Address
Form of work
SalaryJOB SUMMARY
Responsible for the scheduling and selection of physician reviewers for referrals received within the Dane Street network.
Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.
MAJOR DUTIES & RESPONSIBILITIES
Assign reviewers in accordance with Dane Street’s regulatory state guide.
Physician Schedulers must comply with each client's special handling, instructions, wants and needs.
Understanding of referral types required. Know what each referral type means, ex. initial review, appeals, reconsiderations.
Assign reviewers of the appropriate specialty and state license to match per state regulations.
Assign all cases to the reviewing physician selected on the referral.
Ensure cases are returned by the reviewer in a timely manner in order to meet case deadlines.
Send reminder emails to the Reviewers on their assigned cases and the due dates.
Promptly communicate any changes, delays or other necessary information to clients.
Other duties & special projects, as assigned and based on business needs.
EDUCATION/CREDENTIALS:
An Associate’s Degree or Bachelor’s Degree is preferred.
JOB RELEVANT EXPERIENCE:
Business experience in a healthcare and/or insurance setting is preferred.
JOB RELATED SKILLS/COMPETENCIES:
Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.
- Working knowledge of physician networks, recruitment, medical specialties, and terminology.
- Knowledge of relevant state and federal compliance guidelines.
- Excellent negotiation skills, communication skills, critical thinking.
- The ability to manage time efficiently and to meet specific deadlines. Computer literacy and typing skills are essential.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Long periods of sitting and computer work.
PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment.
Benefits
We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you want to work in an exciting, fast-paced environment where you can provide meaningful contributions, then we encourage you to apply.
ABOUT DANE STREET:
A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute 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 Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.
