Patient Care Coordinator-Bilingual Preferred

Sedgwick; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

Sedgwick is seeking a Patient Care Coordinator to deliver world-class customer service and process referrals for medical goods and services. The ideal candidate will have a high school diploma or GED and two years of industry experience in healthcare network scheduling.

You will communicate with patients and vendors, ensuring that referrals are processed according to state regulations. Strong communication and organizational skills are essential in this role.

Qualifications

• Two years of industry experience in healthcare network and patient care scheduling required.
• Strong communication and organizational skills.

Responsibilities

• Provide excellent customer service by processing referrals for medical goods and services.
• Communicate with patients, vendor partners, and claims adjusters regarding referrals.
• Ensure that referrals comply with state regulations and are billed correctly.

Skills

Strong critical thinking skills

Excellent oral and written communication skills

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Ability to create and complete comprehensive reports

Ability to work in a team environment

Ability to meet or exceed Performance Competencies

Education

High school diploma or GED

Job description

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 critical thinking skills
• Excellent oral and written communication skills
• 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.

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.

NOTE

The information above is intended to describe the general nature and level of work performed by a colleague assigned to this description. This is not an exhaustive list of functions and duties. Management reserves the right to modify duties at any time.