Patient Care Coordinator - Bilingual Referrals Scheduling

Sedgwick; Florida; On-site; USD 35,000 - 48,000; Full time

Job summary

Sedgwick is hiring a Patient Care Coordinator-Bilingual Preferred in Florida to provide world class customer service in processing referrals for medical goods and services.

You will contact patients, verify demographics, and coordinate with vendors, claims adjusters, and nurse case managers to move referrals through the process, ensuring medical necessity and proper billing are captured and approved.

Qualifications

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

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.

Skills

Customer service

Communication

Organization

Microsoft Office

Problem solving

Teamwork

Written/Verbal skills

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Sedgwick is hiring a Patient Care Coordinator-Bilingual Preferred in Florida to provide world class customer service in processing referrals for medical goods and services.

You will contact patients, verify demographics, and coordinate with vendors, claims adjusters, and nurse case managers to move referrals through the process, ensuring medical necessity and proper billing are captured and approved.