Medical Prep Specialist

JOB SUMMARY

Summarize records and enter guidelines so that Physicians have a clear history of the patient’s current medical condition in conjunction with Utilization Management/Utilization Review process.

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

• Review abstracted medical records
• Extract electronic medical record data including histories, records, and other health-related information
• Create a clinical summary
• Enter treatment guidelines per jurisdiction, requestor, treatment type, etc.
• Enter pertinent data from electronic medical records into database
• Communicates effectively and professionally
• Meet or exceed productivity and accuracy requirements
• Other duties & special projects, as assigned and based on business needs.
  
  

EDUCATION/CREDENTIALS:

Prior relevant clinical experience involving medical record review, medical claims or quality assurance experience desired.

JOB RELEVANT EXPERIENCE:

Prior experience with Peer Review and/or Case Management preferred.  

Business experience in a healthcare and/or insurance setting is preferred.         

JOB RELATED SKILLS/COMPETENCIES:

Ability to work independently and in a team environment, excellent time management and prioritization skills, excellent communication skills (written and verbal), strong attention to detail, ability to multitask, ability to be flexible, highly organized, evidence of strong computer skills including Microsoft office suite (e.g., Microsoft Outlook, Excel, and Word)

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.

Benefits

We offer generous Paid Time Off, an excellent benefits package, and a competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply!

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street 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.