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Paradigm · 6 hours ago

DME Referral Care Coordinator

United States

Full-time

Remote

Entry Level

$20/hr - $22/hr

1+ years exp

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.

Health CareHospitalMedical

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

Qualification

Workers’ CompensationDME experienceCustomer ServiceHealthcare experienceComputer skillsMedical terminologyCommunication skillsOrganizational skills

Required

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

Preferred

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.