Care Coordinator Specialist
3 weeks ago
Built on meritocracy, our company culture fosters a collaborative environment where self-starters thrive. The Care Coordinator is responsible for providing exceptional support to clients and their families, navigating the complexities of insurance and billing. This role plays a vital part in ensuring seamless care coordination, addressing issues that impact quality of life and outcomes.
- Key responsibilities include:
- Assisting clients in locating plan-friendly providers and facilities.
- Preventing and resolving delays in care by educating providers on insurance.
- Confirming the deployment and receipt of ancillary services, such as home health and community-based social services.
- Aiding and resolving issues related to claims, billing, and payment of healthcare services.
- Educating clients on benefits plans, including deductibles, in/out-of-network inquiries, and estimation of benefits.
- Providing exceptional customer service through direct communication.
- Collaborating with external facilities and providers to execute care plan issues.
- Making outbound client calls to coordinate individual needs.
- Assisting with locating community resources for clients.
- Bachelor's degree preferred.
- High school diploma.
- TN Life and Health License (obtain within 90 days of employment).
- Proficient with Microsoft Office.
- A minimum of two years of related experience or equivalent, preferably in a physician office or medical provider.
- Experience in employee benefits industry preferred.
- Previous experience in medical claims or billing preferred.
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance.
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement.
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services.
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts.
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