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Care Coordinator

Company: Paradigm Management Services L
Location: Tampa
Posted on: May 19, 2019

Job Description:

Summary/Objective:The Care Coordinator is responsible for the intake, scheduling, and managing of the Orthopedic/Spine Specialist referrals. The role requires effectively communicating with clients, providers, claimants, and internal staff regarding information related to the workers compensation claim. This role will also assist with entering relevant information in the Encompass system and providing operational support, as needed.Essential FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

  • Intake, schedule and manage workers compensation Orthopedic & Spine Specialist referrals through direct contact with claimants, providers, case managers, & adjusters.
  • Interact and communicate with clients and providers using various methods of communication.
  • Responsible for referral documentation management, follow-up items, & overall management of referrals.
  • Schedule claimant's appointments, obtain all pertinent medical documentation, and provide timely updates to the case managers and adjusters.
  • Provide clients, providers, and claimants with exceptional service.
  • Read, interpret, and enter claim information into the Encompass systems to properly complete core functions.
  • Work closely with interdepartmental operations staff to effectively manage referrals.
  • Understand & comply with all HIPAA & SOC2 requirements necessary in working with designated PHI.
  • Perform additional support functions as needed.#PM19 Competencies:
  • Exemplary Customer Service Skills
  • Consistent and efficient quality data entry
  • Attention to detail
  • Highly Organized
  • Problem solving and analysis
  • Ability to multi-task
  • Proficient in all MS Office and computer application systems
  • Excellent verbal and written communication skillsSupervisory Responsibility:This position has no supervisory responsibilities.Work Environment:This job operates in a professional office environment. This role routinely uses standard office equipment such ascomputers, phones, photocopiers, filing cabinets and fax machines.Physical Demands:The physical demands described here are representative of those that must be met by an employee to successfullyperform the essential functions of this job.While performing the duties of this job, the employee is regularly required to talk and hear. The employee is frequentlyrequired to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must beable to lift a minimum of 10lbs.Position Type and Expected Hours of Work:This is a full-time position. Days and hours of work vary based on the needs of the business. Evening and weekendwork may be required as job duties demand.Travel:No travel is expected for this position.Required Education and Experience:
  • Associate's degree or equivalent number of years' experience.
  • Customer service (with call center & healthcare experience a plus)
  • Minimum typing speed of 45 WPM.Preferred Education and Experience:Experience in healthcare (provider network service a plus)Other Duties:Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties orresponsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at anytime with or without notice.PI110049017

Keywords: Paradigm Management Services L, Tampa , Care Coordinator, Other , Tampa, Florida

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