患者护理协调员
Patient Care Coordinator
加入Sedgwick，你将参与真正有意义的事业。我们的33,000名同事每天为全球面临意外情况的人们提供帮助。我们邀请你与我们一同成长，体验我们的关怀文化，并享受工作与生活的平衡。在这里，你所能实现的没有界限。
Newsweek 将 Sedgwick 评为美国最佳职场之一
被认证为“最佳工作场所®”
财富杂志金融服务业与保险业最佳工作场所
患者护理协调员
主要职责：通过处理转介以提供世界级的客户服务和交付，为我们的客户和患者服务。
核心职责和任务
- 与患者联系，针对新转介或正在处理的转介确认患者人口统计信息，提供转介更新，或确认相关商品或服务的交付。
- 与供应商合作伙伴、理赔调整员和护士案例经理沟通，提供新转介以及正在处理中的转介的更新信息。
- 为每个转介获取供应商合作伙伴，根据所请求的商品或服务进行匹配。
- 负责处理现有转介、新转介或其他团队成员转介的电话联系。
- 向客户提供报价以获得批准或跟进已发送的报价，以获得书面批准，确保每个转介被认定为医疗必要并得到理赔调整员的批准。
- 确认每个转介中存在所有必要的相关账单信息，根据现有的工作流程和账单流程进行处理，并每天将这些转介进行账单处理。
- 根据各州法规和工伤赔偿指南处理转介。
其他职责和任务
- 执行其他指派的任务。
- 支持组织的质量计划。
- 按需出差。
资格要求
教育与执照
需要高中文凭或同等学历（GED）。
经验
需要两年在医疗网络和患者护理排程行业的相关经验，或等同的教育和经验组合。
技能与知识
- 强大的客户服务技能
- 强大的批判性思维能力
- 自主积极
- 出色的口头和书面沟通能力
- 熟练使用电脑，包括Microsoft Office产品
- 分析和解读能力
- 强大的组织能力
查看英文原文
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Patient Care CoordinatorPRIMARY 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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $16.50. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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.
Originally posted on Himalayas