Patient Care Coordinator-Bilingual Preferred

Sedgwick; Tallahassee (FL); Remote; USD 36,000 - 54,000; Full time

Job summary

Sedgwick is hiring for a Telecommuter Patient Care Coordinator in Florida. This full-time role focuses on delivering world-class customer service through processing referrals for medical goods and services. Candidates should be bilingual preferred and ready to work in a flexible, remote setting.

Qualifications include a high school diploma, and 2 years in healthcare scheduling or an equivalent mix of education and experience. Strong communication and organizational skills are essential.

Qualifications

• High school diploma or GED required.
• Two years of healthcare scheduling or equivalent experience preferred.
• Excellent communication and problem-solving abilities.

Responsibilities

• Reaches out to patients to confirm demographics and update referrals.
• Communicates with vendor partners, claims adjusters and nurse case managers.
• Procures vendor partners for referrals as needed.
• Handles calls for new and existing referrals and team members.
• Provides quotes and secures written approvals for referrals.
• Ensures billing information is complete and referrals are properly billed.
• Processes referrals in compliance with state regulations and workers' comp guidelines.
• Works collaboratively to meet performance standards and deadlines.

Skills

Customer service

Critical thinking

Self-starter

Oral & written communication

Analytical skills

Organizational skills

Interpersonal skills

Written reports

Team player

Performance competencies

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Telecommuter FL

Full time

R75734

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-Bilingual Preferred

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

NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.

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.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com