Patient Care Coordinator-4

Sedgwick; Town of Florida (NY); Hybrid; USD 42,000 - 56,000; Full time

Job summary

Sedgwick seeks a Patient Care Coordinator-4 to provide world-class customer service and service delivery by processing referrals for medical goods and services. You will reach out to patients, verify demographics, and confirm delivery details while working with vendor partners and claims adjusters.

The role supports ensuring referrals are medically necessary, billing-ready, and processed per state regulations. Excellent communication, teamwork, and organizational skills are essential for success.

Qualifications

• High school diploma or GED required.
• Two years of healthcare network and patient care scheduling experience or equivalent combination of education and experience required.

Responsibilities

• Reach out to patients regarding referrals, confirm demographics and delivery of goods or services.
• Communicate with vendor partners, claims adjusters and nurse case managers with updates on referrals.
• Procure vendor partners for referrals as related to requested goods or services.
• Handle calls on existing or new referrals and other team members' referrals.
• Provide quotes to clients for approval and obtain written approval when needed.
• Ensure billing information is correct and move referrals to billing daily.
• Process referrals per state regulations and workers' compensation guidelines.

Skills

Customer service

Communication

Teamwork

Multitasking

Problem solving

Attention to detail

Time management

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 Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance

Patient Care Coordinator-4

PRIMARY PURPOSE : To provide world class customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or confirming delivery of said goods or service.
• Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as well as referrals already in process.
• Procures vendor partners for each referral as it relates to the goods or services requested.
• Responsible for making or taking phone calls on existing referrals, new referrals, or other team members referrals.
• Provides quotes back to clients for approval or follow up on quotes already sent to obtain written approval for requested referrals ensuring that each referral is deemed medically necessary and approved by the claim's adjuster.
• Confirms all required and relevant billing information exists in each referral as it relates to the workflow and billing processes in place and moves those referrals to be billed each day.
• Processes referrals per state regulations and workers compensation guidelines.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

QUALIFICATIONS

Education & Licensing

High school diploma or GED required.

Experience

Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required.

Skills & Knowledge

• Strong customer service skills
• Strong critical thinking skills
• Self-Starter
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to create and complete comprehensive, accurate and constructive written reports
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory/Visual : Hearing, vision and talking

The 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.