Physician Advisory Services Peer to Peer Coordinator

The Peer Coordinator plays an integral role in the peer-to-peer metric and process as they 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.

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/Notes:

• Inputting/tracking 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 (w/in 2 hours of receipt) work through faxes received from physician offices to coordinate calls with reviewing physicians.
• Log availability and upload the fax into the referral and add to the availability tracking sheet.

Other duties & special projects, as assigned and based on business needs.

EDUCATION/CREDENTIALS:

• An Associate’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 CONDITIONS/PHYSICAL DEMANDS:

• 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 their own internet services.
• Maintaining an uninterrupted internet connection is a requirement of all work from home position.

This job description is subject to change at any time.

Requirements

Beginning compensation will depend on several factors including the candidate's experience, education, and specific skills. In addition to the base salary, we offer a comprehensive benefits package including health insurance, retirement plans, and performance bonuses.

Our Commitment:

We are committed to providing fair and competitive compensation that reflects each employee's contributions and performance. We value diversity and strive to create an inclusive environment for all employees.

Benefits

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.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is 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. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

Originally posted on Himalayas