Patient Care Coordinator - Sedgwick Claims Management Services, Inc.
Telecommuter, OH
About the Job
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Patient Care Coordinator
Our teams connect! We collaborate one day a week in the office for a connection day. Our Dublin office is located at: 5500 Glendon Court 100, 150, 175, 200, 300 Dublin OH 43016
Are you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years’ experience in an office setting and grow with us!
A stable and consistent work environment in an office and/or virtual setting
A training program to learn how to help employees and customers from some of the world’s most reputable brands
An assigned mentor and manager who will guide you on your career journey
Career development and promotional growth opportunities through increasing responsibilities
A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE:
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 RESPONSIBLITIES MAY INCLUDE
- 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.
- Performs other duties as assigned.
- Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing: High school diploma or GED required.
Skills: Strong oral and written communication, computer literate – including Microsoft Office, organizational skills required
PC literate, including Microsoft Office products, Windows environment.
Must meet minimum typing requirements.
Experience: Clerical or customer service experience or equivalent combination of education and experience preferred
TAKING CARE OF YOU
Entry-level colleagues are offered a world class training program with a comprehensive curriculum
An assigned mentor and manager that will support and guide you on your career journey
Career development and promotional growth opportunities
A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more
Work environment requirements:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
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.