Care Coordinator

What you’ll do 

• Communicate and follow-up with plan members to ensure understanding of the program while delivering exceptional customer service  
• Answers the phones and responds to incoming inquiries while utilizing care center training tools  
• Facilitates patients successfully through the surgery review process, exceeding expectations while meeting the program metrics  
• Efficiently and effectively manages a case load across a variety of clients and surgical categories  
• Coordinate the scheduling and approval process from the initial request for surgery to patient placement  
• Obtain the necessary information – demographic, financial, clinical and other pertinent data to complete referral process  
• Obtain medical records in a timely and accurate manner to ensure an expedited process  
• Maintain and update application with current data, pertinent information, and status of cases 
• Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Obtain pre-authorizations. 
• Works effectively with other supporting operational roles and internal departments, to coordinate the member’s case 
• Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions 
• Maintain confidentiality and knowledge of HIPAA regulations 
• Demonstrate Transcarent core values 
• Comply with company policies 
• Be willing and available to work overtime as needed 

What we’re looking for 

• 2 to 4 years customer relationship and phone center experience 
• Pacific or Mountain Time preferred – available to work Monday - Friday, 9:30a - 6:00p MT  
• Proficient in data entry, Microsoft Office, and contact center-style phone systems  
• Excellent customer service, written and verbal communication and interpersonal skills  
• A “delight the customer” attitude 
• Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process 
• Strong organizational, critical thinking and problem-solving skills 
• Strong attention to detail and follow-through 
• Project management-type skills; prior experience managing a high-volume caseload 
• An ability to focus in a high energy atmosphere 
• Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude 

Nice to have 

• Experience in surgical scheduling 
• Strong skills in multitasking 
• Ability to move between multiple technologies 

As a remote, hourly position, the pay for this role is:

• $20.00-$24.00/hr