Care Coordinator
Posted on 3/7/2024
INACTIVE
Transcarent

201-500 employees

Comprehensive health & care platform
Company Overview
Trascarent’s mission is to create a new, different, and better health and care experience that puts health consumers in charge, directly connecting them with high-quality care, transparent information, and trusted guidance on their terms – measurably improving member experience, increasing health outcomes, and reducing costs.
Consumer Software

Company Stage

Series C

Total Funding

$298M

Founded

2020

Headquarters

San Francisco, California

Growth & Insights
Headcount

6 month growth

0%

1 year growth

1%

2 year growth

31%
Locations
Remote in USA
Experience Level
Entry
Junior
Mid
Senior
Expert
Desired Skills
Customer Service
CategoriesNew
Medical, Clinical & Veterinary
Healthcare Administration & Support
Nursing & Allied Health Professionals
Requirements
  • 2 to 4 years customer relationship and phone center experience
  • Pacific or Mountain Time preferred - available to work 9:30-6pm MT
  • Proficient in data entry, Microsoft Office, and contact center-style phone systems
  • Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process
  • Strong organizational, critical thinking and problem-solving skills
  • Project management-type skills; prior experience managing a high-volume caseload
  • Ability to focus in a high-energy atmosphere
  • Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude
  • Authorization to work in the United States
Responsibilities
  • 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