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Assign all cases to the reviewing physician selected on the referral. Working knowledge of physician networks, recruitment, medical specialties, and terminology. Responsible for the scheduling and selection of physician reviewers for referrals received within the Dane Street network.
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Physician Schedulers must comply with each client's special handling, instructions, wants and needs. 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.
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Ensure cases are returned by the reviewer in a timely manner in order to meet case deadlines. 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.
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An Associates Degree or Bachelors Degree is preferred. initial review, appeals, reconsiderations. Computer literacy and typing skills are essential. Send reminder emails to the Reviewers on their assigned cases and the due dates.
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Assign reviewers in accordance with Dane Streets regulatory state guide. We care for our customers, each other and Dane Street. If you want to work in an exciting, fast-paced environment where you can provide meaningful contributions, then we encourage you to apply.
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A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful, astute forward-thinking professionals. We offer generous Paid Time Off, an excellent benefits package, and a competitive salary.
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Assign reviewers of the appropriate specialty and state license to match per state regulations. 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.
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Present exceptional communication skills with a clear understanding of company business lines. Excellent negotiation skills, communication skills, critical thinking. Promptly communicate any changes, delays or other necessary information to clients.
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Must have worked as a patient scheduler before in a specialty such as dermatology, family medicine, oncology, cardiology etc. Patient Scheduling Representatives provide call center-based scheduling, registration and patient access services to hospitals, healthcare networks and physician practice groups.
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Business experience in a healthcare and/or insurance setting is preferred. Dane Streets success relies on individual and team contributions every day. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.
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The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Other duties & special projects, as assigned and based on business needs. Knowledge of relevant state and federal compliance guidelines.
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Long periods of sitting and computer work. Know what each referral type means, ex. Understanding of referral types required. The ability to manage time efficiently and to meet specific deadlines.
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Long periods of sitting and computer work. Know what each referral type means, ex. Understanding of referral types required. The ability to manage time efficiently and to meet specific deadlines.
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Communicates timely and effectively with physicians, patients, family members, and appropriate agency staff regarding any patient care issues or needs, visit assignments, dates of scheduled visits, and schedule changes to scheduler, orders and OASIS data sets, coding requests, schedule home visits, to coordinate care with other clinicians, and deliver services to patient as ordered by physician and in accordance with applicable laws and regulation.
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Long periods of sitting and computer work. Know what each referral type means, ex. Understanding of referral types required. The ability to manage time efficiently and to meet specific deadlines.
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