Patient Care Coordinator

Sedgwick; Tallahassee (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

Sedgwick is hiring a Patient Care Coordinator to deliver exceptional service for claims across multiple lines of business. You will guide callers through the claims application process, explain documentation needs and timeframes, and provide clear claim status updates.

You’ll enter data accurately into the claims system and route requests to the right specialists. The role emphasizes strong communication, attention to detail, and the ability to handle multiple clients across channels in a

Qualifications

• High school diploma or GED required; college courses preferred.
• 1 year customer service or call center experience.
• Familiarity with medical terminology and claims processes.
• Excellent verbal and written communication skills.
• Ability to multitask in a fast-paced environment and manage multiple clients.

Responsibilities

• Serve as primary liaison with callers and assist with claims application and servicing processes.
• Educate customers on documentation, required time frames, payment information, and claim status.
• Document all call details concisely and accurately in the claims management system.
• Assign new claims to the appropriate claims handler and escalate as needed.
• Direct calls to the appropriate contact at multiple locations and support multiple clients across channels.
• Perform other duties as assigned and support quality programs.

Skills

Customer service

Inbound call center

Medical terminology

Verbal and written communication

Multitasking

Teamwork / independent work

Education

High school diploma or GED

Tools

Microsoft Office

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsurancePatient Care CoordinatorPRIMARY PURPOSE: To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to resolve issues with one call/one person response; and to direct calls to appropriate escalation path as needed.ESSENTIAL FUNCTIONS and RESPONSIBILITIESActs as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.Assigns new claims to the appropriate claims handler.Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.Attendance during scheduled work hours is required.ADDITIONAL FUNCTIONS and RESPONSIBILITIESPerforms other duties as assigned.Supports the organization's quality program(s).QUALIFICATIONSEducation & LicensingHigh school diploma or GED required. College courses preferredExperienceOne (1) year customer service experience or equivalent combination of education and experience required. Inbound call center experience preferred.Skills & KnowledgeKnowledge of medical terminologyUnderstanding of claims managementExcellent oral and written communication skillsPC literate, including Microsoft Office productsStrong organizational skillsGood interpersonal skillsAbility to multi task in fast paced environmentAbility to support multiple clients across communication channels and utilize multiple systems simultaneouslyAbility to work in a team environment and/or independentlyAbility to meet or exceed Performance CompetenciesWORK ENVIRONMENTWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboarding, travel as requiredAuditory/Visual: Hearing, vision and talkingThe statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.