Senior Intake Coordinator

Florida, USA Georgia, USA Idaho, USA Iowa, USA Montana, USA Nebraska, USA North Carolina, USA South Carolina, USA South Dakota, USA Tampa, FL, USA Tennessee, USA Virginia, USA West Virginia, USA Winter Park, FL, USA Req #1156 Tuesday, August 20, 2024

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses.

The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers.

Deep clinical expertise is the foundation for every part of Paradigm’s business : risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We are seeking a fully remote full-time Senior Intake Coordinator. The position is responsible to receive phone calls in a professional, timely manner and create appropriate Durable Medical Equipment (DME) and Home Health referrals.

Hours : Monday Friday, 12p 8 : 30p EST

Responsibilities :

• Primarily responsible to receive and answer phone calls in a professional, timely manner, assisting with processing Durable Medical Equipment (DME) and Home Health (HH) referrals.
• Communicate messages to internal team in an effective, efficient manner.
• Maintain payer billing location information as well as adjusters and case managers' information.
• Process DME and HH billing for mailing as assigned.
• Create DME and Home Health referrals, create files, and maintain applicable data with appropriate document file management for all incoming faxes, invoices, clinical notes, and prescriptions.
• Assist with implementing and maintaining new customers in company's proprietary software. Complete unmatched e-claim reports.
• Notify appropriate internal departments regarding new referrals.
• Responsible for appropriately managing incoming mail. Follow up as appropriate with co-workers, supervisor, or referral sources as needed.
• 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.
• Assist with special projects as assigned.
• Positively support the mission, values, and vision of Paradigm 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.

Qualifications :

• Some college credit and / or experience in a related discipline.
• At least one year of experience working with Injured Workers or Workers’ Compensation Insurance. One (1) year of related experience may be considered in lieu (e.

g., DME, insurance, healthcare, physician practice, and orthotics).

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. Excellent customer service skills required.

Maintain Confidentiality of all data, including ensuring protection injured workers' rights, Protected Health Information (PHI), employee, and operations data.

Knowledgeable of injured worker’s rights and ensure an atmosphere which allows for the privacy, dignity, and well-being of that injured worker.

Paradigm Benefits :

• Health and wellness : We want our people to be and stay healthy so we offer a wide variety of HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.
• Financial incentives : Paradigm’s financial benefits also help prepare you for the future : competitive salaries, flexible spending, commuter accounts, paid life insurance, employer HSA, and 401k contributions.
• Vacation : We believe strongly that work-life balance is good for you and for our company. Our paid time off and floating-holiday programs give you the flexibility you need to live your life to the fullest.
• 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.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives.

We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve.

For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Other details

• Job Family Active
• Pay Type Hourly
• Min Hiring Rate $18.00
• Max Hiring Rate $20.00
• Travel Required No

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