Patient Care Coordinator
Company: Sedgwick
Location: Carson City
Posted on: May 27, 2023
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Job Description:
The 'Apply with SEEK' option will be utilized for International
applicants, mainly Australia. If this does not apply to you please
use the 'Apply' option.
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
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 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.
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.
Taking care of people is at the heart of everything we do. Caring
counts
Sedgwick is a leading global provider of technology-enabled risk,
benefits and integrated business solutions. Every day, in every
time zone, the most well-known and respected organizations place
their trust in us to help their employees regain health and
productivity, guide their consumers through the claims process,
protect their brand and minimize business interruptions. Our more
than 30,000 colleagues across 80 countries embrace our shared
purpose and values as they demonstrate what it means to work for an
organization committed to doing the right thing - one where caring
counts. Watch this video to learn more about us.
(https://www.youtube.com/watch?v=ywxedjBGSfA)
Keywords: Sedgwick, Reno , Patient Care Coordinator, Other , Carson City, Nevada
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