10 open positions available
Generate revenue by developing new accounts and growing existing clients within the defense or insurance legal community in Texas. | Proven success in legal services or medical review sales, understanding of injury litigation and medical billing disputes, excellent communication and relationship skills, ability to travel within Texas. | JOB SUMMARY Candidates must be based in Texas with established connections in the defense or insurance legal community. Dane Street is looking for highly motivated candidates to join as our Sales Director. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. The Sales Director is in the center of our critical relationships with our clients, our technical team and our operations teams. As a member of our team, you will be responsible for generating revenue by identifying and developing new accounts, and growing existing national and local accounts. The position also involves growing Dane Street’s market share with existing clients. Individuals should possess the right balance of relationship-building skills and motivation to significantly impact Dane Street’s sales growth targets within the local market. 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 Prospect, identify, and secure new business with Texas-based defense attorneys and law firms. Build and maintain long-term client relationships through consultative selling and excellent follow-up. Educate clients on the purpose and value of Counter Affidavits in litigation cost control. Collaborate with operations and medical experts to ensure seamless client service delivery. Attend industry conferences, CLE events, and networking functions to promote brand awareness. Maintain accurate records in CRM and provide regular activity and pipeline reports. Meet and exceed monthly and quarterly sales targets. Ability to travel within Texas as needed. Special Skills and Attributes: Excellent communication, presentation, and relationship-building skills. Self-motivated, goal-oriented, and comfortable working independently. Business Development mindset Proficiency in Microsoft Excel and PowerPoint is a must Closing Skills Sales Planning Prospecting Skills Strong Follow-Up Ability to Meet Sales Goals Other duties & special projects, as assigned and based on business needs. EDUCATION/CREDENTIALS: 4-year College degree (BA/BS) preferred; relevant industry experience accepted in place of degree. JOB RELEVANT EXPERIENCE: Proven success in legal services, medical review, or expert witness sales. Strong understanding of injury litigation and the role of medical billing disputes. 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. 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.
The Disability Customer Service Representative is responsible for the intake and processing of new cases, ensuring proper documentation and case assignment. They also monitor and track cases to meet deadlines and maintain communication with clients regarding case progress. | An Associate's Degree is preferred, along with business experience in a healthcare or insurance setting. Good communication skills, critical thinking, and computer literacy are essential for this role. | The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process. MAJOR DUTIES & RESPONSIBILITIES 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 the client on any information missing pertinent to processing the claim. Sort, organize and create a medical document listing - if required by the 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. COMMUNICATION: Indicate applicable type of communication ✓ External ✓ Internal EDUCATION/CREDENTIALS: An Associate’s Degree preferred. JOB RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred. JOB RELATED SKILLS/COMPETENCIES: Good 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. 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. Compensation Range: $15.00 - $21.00/hr USD 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.
Achieve territory revenue targets by developing new accounts and growing existing ones through relationship building, sales presentations, and CRM documentation. | Requires a 4-year degree, sales leadership experience, preferably in auto or workers compensation claims, strong communication and sales skills, and residency in the Southwest region. | Seeking a Sales Director in the Southwest Region! This position will cover the following states: Arizona Utah New Mexico Colorado Nevada Candidates must reside in at least one of the above states. Dane Street is looking for highly motivated candidates to join our organization in the position of Sales Director. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. The Sales Director is in the center of our critical relationships with our clients and our operations teams. As a member of our team, you will be responsible for achieving your territory's revenue target by identifying and developing new accounts, and growing Dane Street's wallet share with existing national and local accounts. Individuals should possess the right balance of relationship-building skills and motivation to significantly impact Dane Street’s sales growth targets within the local market. Required Minimum Education/Experience: 4-year College degree (BA/BS) Auto OR Workers Compensation Claims experience (Preferred) IME sales experience is a plus Description of Key Tasks and Responsibilities: Initiates sales process by scheduling appointments, understanding account requirements and building personal relationships with adjusters, team leads and supervisors. Recommends new products and services by evaluating current product results and identifying needs to be filled. Increase referral volume and revenue by building rapport with potential accounts, explaining product and service capabilities and overcoming objections. Documenting related sales and account activities and results into our internal CRM platform. Updates job knowledge by participating in industry opportunities such as conferences and seminars. Other duties as assigned dependent on the needs of the business. Special Skills and Attributes: Business Development mindset Presentation Skills Proficiency in Microsoft Excel and PowerPoint is a must Excellent Communication Skills (both internal and external) Closing Skills Motivation For Sales Sales Planning Prospecting Skills Strong Follow-Up Ability to Meet Sales Goals 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. 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. 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. 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.
The IME Quality Analyst - Liability manages the medical file review process, ensuring client questions are addressed and reports are accurate. They conduct quality audits and maintain communication with clients and reviewers throughout the process. | An Associate’s or Bachelor’s Degree is preferred, along with business experience in healthcare or insurance. Candidates with liability experience or paralegal defense work are preferred. | JOB SUMMARY The IME Quality Analyst - Liability is responsible for managing the various aspects of the medical file review process. They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy. Ensuring client and department standards have been met. 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 Quality Audits Reviews reports accompanying medical records to ensure that the report is complete and that all questions posed by the client have been addressed. Follows up with the reviewer with any additional questions or clarifications needs. Follows up with the client should there be any additional questions. Updates clients frequently on referral progress. Ensures the report is grammatically correct with no spelling errors. Ensures each referral adheres to the QA checklist prior to the completion. Formats reports for approval. Communication Communicates clearly and concisely between the customer, reviewer, and Operations team Must confidently speak with physicians and clients regarding the content of their peer reviews. 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. Working with technology based processes within the business environment. Preference for candidates with liability experience and/or paralegal defense work. 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. 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.
Conduct Utilization Reviews to evaluate the medical necessity of requested dental treatments and procedures. Provide objective, evidence-based written determinations using Dane Street’s secure online platform. | Candidates must have Board Certification in a dental specialty and an active, unrestricted New York Dental License. Current or recent engagement in clinical practice is also required. | Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is seeking Board-Certified Dental Specialists with an active New York dental license to join our panel of clinical reviewers. This is a remote, non-clinical opportunity ideal for dental professionals seeking supplemental income and maximum flexibility while maintaining their clinical practice. Position Overview Specialty: General Dentistry or Dental Subspecialties (e.g., Oral & Maxillofacial Surgery, Endodontics, Periodontics, Prosthodontics) License Requirement: Active, unrestricted New York Dental License Employment Type: Independent Contractor (1099) Location: 100% Remote Compensation: Paid per case (average case takes 15–20 minutes) Scheduling: Set your own availability and case volume Start Timeline: Onboarding and training can be completed in under one week Key Responsibilities Conduct Utilization Reviews to evaluate the medical necessity of requested dental treatments and procedures Review prior authorization and appeal cases based on clinical guidelines and standards of care Provide objective, evidence-based written determinations Use Dane Street’s secure, user-friendly online platform No direct patient care or in-person evaluations—advisory role only Qualifications Board Certification in a dental specialty (e.g., Oral Surgery, Endodontics, etc.) Active, unrestricted New York Dental License Current or recent engagement in clinical practice Strong analytical skills and excellent written communication Familiarity with evidence-based guidelines and electronic dental records Why Work with Dane Street? Flexible Schedule: Work anytime, from anywhere Efficient Workflow: Most reviews take just 15–20 minutes No Administrative Burden: We handle all case setup and communication Full Support: Comprehensive onboarding and continuous support Streamlined Tech: Organized case files with integrated guidelines Predictable Deadlines: Most cases due within 1–5 business days Put your dental expertise to work in a rewarding, non-clinical role. Join Dane Street’s panel and help shape high-quality, evidence-based dental care decisions—on your own terms.
The Clinical (RN) QA Specialist will assess the quality of physician reports related to long-term disability claims and ensure they meet client standards. This role involves communicating with physician reviewers to clarify information and manage complex cases requiring additional review. | Candidates must have an RN license and preferably an Associate’s or Bachelor’s Degree. A minimum of 5 years of disability claims experience is required, along with strong communication skills and attention to detail. | Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth potential. Summary: As a Clinical (RN) QA - Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. You will communicate with physician reviewers and their teams to ensure clarity of information, address all posed questions, and meet client deadlines. Key Responsibilities: Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims. Verify that the claims support the physicians determinations in long-term disability claims. Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met. Provide strong customer service by working closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases. Manage and provide oversight for complex long-term disability cases requiring additional review prior to returning to the client. Serve as an additional level of QA for cases with quality issus, utilizing clinical claims knowledge specific to long-term disability. Participate in other duties and special projects, as assigned, based on business needs. EDUCATION/CREDENTIALS: An Associate’s Degree or Bachelor’s Degree is preferred. RN required. JOB RELEVANT EXPERIENCE: 5+ years of claims experience, preferred. Disability experience required. Business experience in a healthcare and/or insurance setting is preferred. Must work with a sense of urgency and meet deadlines. Must be self-motivated, with a strong drive for performance excellence. Excellent written and verbal communication skills are required. Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus). Attention to detail REQUIRED. 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. 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. Compensation Range: $65,000 - $90,000 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.
The Disability Customer Service Representative is responsible for the intake and processing of new cases, ensuring proper documentation and case assignment. They also monitor and track cases to meet deadlines and maintain client communication throughout the process. | An Associate’s Degree is preferred, along with business experience in a healthcare or insurance setting. Good communication skills and the ability to manage time efficiently are essential for this role. | The Customer Service Representative is responsible for receipt of new cases and ensuring proper system drafting and setup. The CSR also is responsible for taking direction and facilitating the case assignment/scheduling process. MAJOR DUTIES & RESPONSIBILITIES 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 the client on any information missing pertinent to processing the claim. Sort, organize and create a medical document listing - if required by the 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. COMMUNICATION: Indicate applicable type of communication ✓ External ✓ Internal EDUCATION/CREDENTIALS: An Associate’s Degree preferred. JOB RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred. JOB RELATED SKILLS/COMPETENCIES: Good 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. 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. Compensation Range: $15.00 - $21.00/hr USD 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.
Review and ensure accuracy of physician reports for long-term disability claims, communicate with physician reviewers, and manage quality assurance for disability cases. | RN required with 5+ years claims experience in disability, strong communication skills, attention to detail, and ability to meet deadlines. | Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth potential. Summary: As a Clinical (RN) QA - Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. You will communicate with physician reviewers and their teams to ensure clarity of information, address all posed questions, and meet client deadlines. Key Responsibilities: • Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims. • Verify that the claims support the physicians determinations in long-term disability claims. • Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met. • Provide strong customer service by working closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases. • Manage and provide oversight for complex long-term disability cases requiring additional review prior to returning to the client. • Serve as an additional level of QA for cases with quality issus, utilizing clinical claims knowledge specific to long-term disability. • Participate in other duties and special projects, as assigned, based on business needs. Requirements EDUCATION/CREDENTIALS: • An Associate’s Degree or Bachelor’s Degree is preferred. • RN required. JOB RELEVANT EXPERIENCE: • 5+ years of claims experience, preferred. • Disability experience required. • Business experience in a healthcare and/or insurance setting is preferred. • Must work with a sense of urgency and meet deadlines. • Must be self-motivated, with a strong drive for performance excellence. • Excellent written and verbal communication skills are required. • Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus). • Attention to detail REQUIRED. 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. 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. Compensation Range: $65,000 - $90,000 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.
Review disability claims using clinical expertise and evidence-based guidelines, provide clear rationales for decisions, maintain credentialing, and complete reviews on schedule. | Must be a licensed California physician, board certified in Obstetrics and Gynecology, with active practice and ability to perform independent medical reviews remotely. | Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis. Candidate will hold a California State Medical license and be Board Certified in Obstetrics and Gynecology • *This position is for Disability reviews** Requirements As a Physician Reviewer/Advisor for Disability reviews, you will utilize clinical expertise and reviews disability claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care. MAJOR DUTIES AND RESPONSIBILITIES: • Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence-based criteria • Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision • Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer-reviewed literature that support sound and objective decision-making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes • Provides copies of any criteria utilized in a review with the report in a timely manner • Returns cases on or before the due date and time • Makes telephone calls as mandated by the state and/or client specifics • Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job • Attends all required orientation and training • Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits • Board certification required, active practice required PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. Benefits • Robust opportunity for supplemental income • Schedule flexibility and predictable work hours - You choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions. • Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise • Expanded credentials as an expert in Independent Medical Exams and physician advisor services • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.
Manage regional operations center profitability, staff performance, client relationships, and ensure adherence to healthcare billing and scheduling standards. | Requires RN/LPN license, utilization review experience, healthcare or insurance business experience, strong communication, and ability to manage staff and financial goals. | 100% REMOTE JOB SUMMARY Oversee and ensure the overall profitability of the regional operations center. This includes but is not limited to reaching and exceeding financial & referral goals, properly managing staffing efficiencies throughout the team, managing performance expectations & improvements for existing staff. Present management with regular reporting on any topic requested by the management team. 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 Driving Revenue Growth The Operations Manager drives revenue growth by delivering excellent Customer service. This includes meeting scheduling best practices and turnaround time requirements. Ensuring the timely delivery of high quality reports. Managing client inquiries in a timely manner. Optimizing Physician cost Ensuring that client invoices adhere to the agreed upon fee schedule. Overseeing the proper selection of physicians. Specifically ensuring that the team selects the most appropriate physician based on the claimant’s location, the required specialty, and the most appropriately priced physician based on the client’s fee schedule. Building relationships with key physicians to ensure panel retention. Manage Staff Performance and capacity Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists. Ensure the team meets or exceeds 85% of output goals for scheduling and Quality Assurance targets. Responsible for hiring new staff members based on increased referral volume and/or the addition of new clients. Conducts performance evaluations that are timely and constructive. Handles discipline and termination of employees as needed and in accordance with company policy. Responsible for the overall production, performance, and quality of the assigned region. Plans and organizes daily activities related to production and operations. Measures productivity by analyzing performance data, financial data, and activity reports. Coordinates with other support departments such as human resources, finance, and IT and BA to ensure successful production operations. Determines labor needs to meet production goals. EDUCATION/CREDENTIALS: An Associate’s Degree or Bachelor’s Degree is preferred. RN / LPN License is required. JOB RELEVANT EXPERIENCE: Business experience in a healthcare and/or insurance setting is preferred. Business experience in a Worker’s Compensation and/or Auto insurance setting is preferred. Utilization Review experience is required. 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. 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. 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. Compensation Range: $75,000 - $93,750 USD 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.
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