Patient Care Coordinator

This is a fully remote position, open to applicants in Florida.

📋 Description

• Deliver outstanding service to callers concerning claims across various lines of business

• Accelerate the claims application procedure

• Document comprehensive claim notes during all interactions

• Address issues with a single call/single person resolution

• Route calls to suitable escalation channels as necessary

• Serve as the main point of contact for callers regarding claims application and servicing procedures

• Inform and educate customers about the required claim documentation, timelines, payment details, and claim status

• Guide claimants/callers on client prerequisites and benefit plans

• Accurately input verbal and written application details into the claims management system

• Allocate new claims to the relevant claims handler

• Redirect customer inquiries to appropriate contacts or escalate to Service Center Specialist/management

• Contribute to the organization's quality initiatives

• Execute additional responsibilities as assigned

⛳️ Requirements

• High school diploma or GED is mandatory

• A minimum of one (1) year of customer service experience or a comparable mix of education and experience is required

• Experience in an inbound call center is preferred

• Familiarity with medical terminology

• Knowledge of claims management processes

• Exceptional verbal and written communication abilities

• Proficient in PC use, including Microsoft Office applications

• Strong organizational capabilities

• Excellent interpersonal skills

• Capacity to multitask in a dynamic environment

• Ability to assist multiple clients through various communication channels and operate multiple systems concurrently

• Capable of working collaboratively in a team or independently

• Must meet or surpass Performance Competencies

• Regular attendance during scheduled work hours is essential

🏝️ Benefits

• Work-life balance

• Reasonable accommodations when applicable and appropriate

• Equal opportunity workplace

• Drug-free workplace