Patient Care Coordinator – Bilingual Preferred
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Job Description
Bilingual-preferred Patient Care Coordinator processing medical referrals for Sedgwick’s insurance and claims services. Coordinating patients, vendors, adjusters, and nurse case managers.
Responsibilities:
- Provide world-class customer service and service delivery to clients and patients through processing referrals for medical goods and services
- Reach out to patients regarding new or processing referrals, confirm demographic information, provide referral updates, and confirm delivery
- Communicate with vendor partners, claims adjusters, and nurse case managers about referrals
- Procure vendor partners for requested goods or services
- Make or take calls concerning existing, new, or team members’ referrals
- Provide quotes to clients for approval and follow up on sent quotes to obtain written approval
- Ensure referrals are medically necessary and approved by the claim’s adjuster
- Confirm required billing information and move referrals to billing each day
- Process referrals according to state regulations and workers compensation guidelines
- Perform other assigned duties
- Support the organization’s quality programs
- Travel as required
Requirements:
- Spanish bilingual preferred
- High school diploma or GED required
- Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required
- 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
- Credit security clearance, confirmed via a background credit check, is required
Benefits:
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations when applicable and appropriate
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