Note: The job is a remote job and is open to candidates in USA. Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. They are seeking a full-time remote DME Referral Care Coordinator to perform various duties related to Durable Medical Equipment referrals, ensuring smooth acquisition and delivery of equipment to injured workers.
Responsibilities
- Receive DME referrals, communicate status and receipt of DME to referral sources. Ensure written authorization from payor source prior to delivery of equipment. Provide updates to referral sources, provider, and injured worker as well as confirmation of DME delivery. Work closely with referral sources, injured workers and DME providers to ensure appropriate DME is delivered in a specified timeframe. Follow up with injured workers and referral sources in a timely manner to ensure customer satisfaction
- Provide accurate, timely pricing to the Billing Department to ensure DME billing is accurate. Expand current list of DME providers, mindful to secure best possible pricing for equipment
- Coordinate specific work tasks with internal teams as needed to ensure smooth and efficient flow of information. Responsive to inquiries within given timeframes and within established policy. Appropriately follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns
- Positively support the mission, values, and vision of Paradigm Corp. through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives, including providing a work environment free from all illegal and discriminatory behavior and harassment, including sexual harassment
- Maintain Confidentiality of all data, including ensuring protection injured workers’ rights, Protected Health Information (PHI), employee, and operations data
- Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance
- Cooperate and work well together with all co-workers, ensuring all communication is professional and cordial; Plan, execute and complete job duties with minimal supervisory direction, utilizing appropriate sound judgment
Skills
- Some college credit and/or experience in a related discipline
- At least one (1) year of related experience in healthcare and DME
- Excellent communication skills, verbal and written
- Proficient in reading, grammar, and mathematics
- Strong computer skills (e.g., Outlook, Excel, Word, Teams, proprietary software for which training will be provided)
- Accuracy and efficiency required
- Excellent organizational, prioritization and multi-tasking skills
- Knowledgeable of medical terminology
- Previous Workers' Compensation experience strongly preferred
- Previous DME and Customer Service experience in a call center preferred
Benefits
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives– Paradigm’s financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- Volunteer time– We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.
Company Overview
Paradigm achieves leading clinical and financial results for catastrophic and complex claims. It was founded in 1991, and is headquartered in Walnut Creek, California, USA, with a workforce of 1001-5000 employees. Its website is http://www.paradigmcorp.com/.
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