Patient Care Coordinator

Company Overview

Become a part of Sedgwick, a global organization with 33,000 colleagues dedicated to supporting people facing unexpected challenges. At Sedgwick, you will have opportunities to develop your career, engage with a compassionate culture, and maintain work-life balance. The company is nationally recognized as a top workplace by Newsweek and Fortune and is certified as a Great Place to Work®.

Primary Purpose

This position is focused on delivering exceptional customer service by efficiently managing referrals related to medical goods and services for clients and patients.

Key Responsibilities

• Engage with patients to verify demographic data, provide updates on referral statuses, and confirm the delivery of medical goods or services.
• Coordinate with vendor partners, claims adjusters, and nurse case managers to share updates on new and ongoing referrals.
• Identify and secure appropriate vendor partners for each referral based on requested goods or services.
• Handle incoming and outgoing calls regarding new, existing, or team referrals.
• Provide clients with quotes for approval and follow up to ensure written consent for medically necessary referrals approved by claims adjusters.
• Verify that all relevant billing details are complete in each referral to align with workflow and billing procedures and facilitate timely billing.
• Process referrals in compliance with state laws and workers' compensation guidelines.

Additional Duties

• Perform other assigned tasks as needed.
• Support organizational quality initiatives.
• Travel as required for job responsibilities.

Qualifications

• High school diploma or GED is mandatory.
• At least two years of experience in healthcare networks or patient care scheduling, or an equivalent combination of education and experience.

Skills Required

• Exceptional customer service abilities.
• Strong critical thinking and problem-solving skills.
• Self-motivated with the ability to work independently.
• Excellent verbal and written communication skills.
• Proficient with PC and Microsoft Office suite.
• Analytical skills and the ability to interpret data accurately.
• Effective organizational skills.
• Strong interpersonal skills and team collaboration.
• Capability to produce detailed, accurate, and constructive reports.
• Ability to meet or exceed performance standards.

Work Environment

Reasonable accommodations will be considered when appropriate. Mental requirements include clear thinking, good judgment, discretion, multitasking, stress management, and meeting deadlines. Physical demands involve computer use and required travel. Auditory and visual capabilities include hearing, vision, and speech.

Additional Information

Sedgwick reserves the right to modify job duties as necessary. It is an Equal Opportunity Employer and a Drug-Free Workplace. Candidates whose experience may not match all qualifications are encouraged to apply; Sedgwick values diversity, equity, and inclusion in building its team.