Care Coordinator

Posted 7 months ago
  • Encompass Specialty Surgical Network, a member of the Paradigm Family of Companies is seeking a Care Coordinator.
  • Encompass Specialty Surgical Management is a company focused exclusively on the delivery of high quality, cost effective, surgical outcomes for workers’ compensation patients.  Developed by an experienced team of orthopedic, surgical center and Workers Compensation experts, Encompass enhances payers’ ability to manage cost and surgical outcomes by ensuring injured workers see the most qualified physicians early in the care continuum. Using data, analytics and quality metrics, Encompass streamlines the process. The result—the industry’s first surgical management organization that delivers cost effective, patient-focused, quality outcomes for orthopedic, spine and surgical care
  • The Care Coordinator is responsible for the intake, scheduling, and managing of Workers’ Compensation Orthopedic/Spine Specialist referrals. The role requires effectively communicating with clients, providers, claimants, and internal staff regarding information related to the workers compensation claim. This role will also assist with entering relevant information in the Encompass system and provide operational support, as needed.
Essential Functions:
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
  • Intake, schedule and manage workers compensation Orthopedic & Spine Specialist referrals through direct contact with claimants, providers, case managers, & adjusters.
  • Interact and communicate with clients and providers using various methods of communication.
  • Responsible for referral documentation management, follow-up tasks, reminders & overall portfolio of claims.
  • Schedule claimant’s appointments, obtain all pertinent medical documentation, and provide timely updates to the case managers and adjusters.
  • Provide clients and patients with exceptional service.
  • Read, interpret, and enter claim information into the Encompass systems to properly complete core functions.
  • Work closely with interdepartmental operations staff to effectively manage referrals .
  • Understand & comply with all HIPAA & SOC2 requirements necessary in working with designated PHI. 9. Perform additional support functions as needed.
  • Exemplary Customer Service Skills
  • Consistent and efficient quality data entry
  • Attention to detail
  • Highly Organized
  • Problem solving and analysis
  • Ability to multi-task
  • Proficient in all MS Office and computer application systems
  • Excellent verbal and written communication skills
Supervisory Responsibility
  • This position has no supervisory responsibilities.
Work Environment:
  • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Position Type and Expected Hours of Work:
  •  This is a full-time position. Days and hours of work vary based on the needs of the business. Evening and weekend work may be required as job duties demand.
  •  No travel is expected for this position.
Required Education and Experience:
  • Associate’s degree or equivalent number of years’ experience.
  • Customer service (healthcare experience required/Workers’ Compensation experience a plus)
  • Minimum typing speed of 45 WPM.
Preferred Education and Experience:
  • Experience in healthcare (provider network service a plus)
Other Duties:
  • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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