[Remote] Patient Care Coordinator

Note: The job is a remote job and is open to candidates in USA. Sedgwick is a company dedicated to providing meaningful support to people around the world facing unexpected challenges. The Patient Care Coordinator role involves providing excellent service to callers regarding claims, expediting the claims application process, and resolving issues effectively while documenting all necessary details.

Responsibilities

• Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes
• Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status
• Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner
• Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system
• Assigns new claims to the appropriate claims handler
• Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed
• Attendance during scheduled work hours is required
• Performs other duties as assigned
• Supports the organization's quality program(s)

Skills

• High school diploma or GED required
• One (1) year customer service experience or equivalent combination of education and experience required
• Knowledge of medical terminology
• Understanding of claims management
• Excellent oral and written communication skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Good interpersonal skills
• Ability to multi task in fast paced environment
• Ability to support multiple clients across communication channels and utilize multiple systems simultaneously
• Ability to work in a team environment and/or independently
• Ability to meet or exceed Performance Competencies
• College courses preferred
• Inbound call center experience preferred

Benefits

• Medical
• Dental
• Vision
• 401k and matching
• PTO
• Disability and life insurance
• Employee assistance
• Flexible spending or health savings account
• Other additional voluntary benefits

Company Overview

Company H1B Sponsorship