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.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Benefits
Health insuranceDental insuranceVision insurance401(k)Paid time offFlexible schedule
Additional Information
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.
Sedgwick · Telecommuter, TX