Role Overview
The Peer Coordinator plays an integral role in the peer-to-peer metric and process. You are responsible for coordinating with the Independent Physician Advisor (IPA) and Treating Provider (TP) to ensure successful peer discussions occur within the necessary referrals submitted to Dane Street by the client.
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.
Key Responsibilities
Handling the Coordination of Peer-to-Peer Calls
- Obtain availability from a Treating Provider and/or an Independent Physician Advisor.
- Coordinate the call with the two parties.
- Be aware of both parties' time zones as they may differ.
- Utilize all communication platforms to coordinate the peer-to-peer (call, email, text).
Coordinating Peer-to-Peer Calls for Received Availability
- Work with the CSR team to facilitate peer-to-peer conversations based on availability received.
- Availability is generally received from a Treating Provider to Dane Street via fax or return call.
- Address all Window of Opportunities (WOO) received by the Client or Treating Providers.
Communication and Documentation
- Input and track notes into each referral for all correspondences related to a referral between staff, treating providers, and/or IPA reviewers, regardless of the communication platform utilized.
Client Interaction
- Update clients frequently on calls scheduled, pending, missed, etc.
Intakes
- Timely (within 2 hours of receipt) work through faxes received from physician offices to coordinate calls with reviewing physicians.
- Log availability, upload the fax into the referral, and add to the availability tracking sheet.
Other duties and special projects, as assigned and based on business needs.
Qualifications
Education and Credentials
- An Associate's Degree is preferred.
Job Relevant Experience
- Business experience in a healthcare and/or insurance setting is preferred.
Job Related Skills and 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 Conditions and Requirements
- Any lifting, bending, traveling, etc. required to do the job duties listed above.
- Long periods of sitting and computer work.
- Work from home technical requirements: Supply and support your own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home positions.
Compensation and Benefits
- Compensation Range: $17.00 - $24.00/hr USD.
- Benefits: Comprehensive package including medical, dental, vision, 401k with match, paid time off, life insurance, disability coverage, and more. Apple equipment and a media stipend are provided for remote workspace.
About Dane Street
A fast-paced, Inc. 500 Company with a high-performance culture, seeking insightful 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.