Care Coordinator at Transcarent

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Care Coordinator Transcarent. Who we are.  .  . Transcarent is the One Place for health and care. We cut through the complexity, making it easy for people to access high-quality, affordable care. With a personalized app tailored for each Member, an on-demand care team, and a connected ecosystem of high-quality, in-person care and virtual point solutions, Transcarent eliminates the guesswork to confidently guide Members to the right level of care. We take accountability for results – offering at-risk pricing models and transparent impact reporting to align incentives towards measurably better experience, better health, and lower costs. At Transcarent, you will be part of a world-class team, supported by top tier investors like 7wireVentures and General Catalyst, and founded by a mission-driven team committed to transforming the health and care experience for all. We closed on our Series C funding in January 2022, raising our total funding to $298 million and enabling us to respond to the demand for our offering. .  . Transcarent is committed to growing and empowering a diverse and inclusive community within our company. We believe that a team with diverse lived experiences, working together will strengthen our organization, and our ability to deliver "not just better but different" experiences for our members. .  . We are looking for teammates to join us in building our company, culture, and Member experience who:.  .  . Put people first, and make decisions with the Member’s best interests in mind.  . Are active learners, constantly looking to improve and grow.  . Are driven by our mission to measurably improve health and care each day.  . Bring the energy needed to transform health and care, and move and adapt rapidly.  . Are laser focused on delivering results for Members, and proactively problem solving to get there.  . What you’ll do.  . 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.  . What we’re looking for.  . 2 to 4 years customer relationship and phone center experience.  . Available to work 11:30am - 8:00pm Mountain Time. Proficient in data entry, Microsoft Office, and contact center-style phone systems .  . Excellent customer service, written and verbal communication and interpersonal skills .  . A “delight the customer” attitude.  . Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process.  . Strong organizational, critical thinking and problem-solving skills.  . Strong attention to detail and follow-through.  . Project management-type skills; prior experience managing a high-volume caseload.  . An ability to focus in a high energy atmosphere.  . Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude.  . Nice to have.  . Experience in surgical scheduling.  . Strong skills in multitasking.  . Ability to move between multiple technologies.  . As a remote, hourly position, the pay for this role is:. $24.00 - $25.00/hour. Total Rewards.  . Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity. .  . Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options. .  . Our benefits and perks programs include, but are not limited to: .  . Competitive medical, dental, and vision coverage .  . Competitive 401(k) Plan with a generous company match .  . Flexible Time Off/Paid Time Off, 12 paid holidays .  . Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance.  . Mental Health and Wellness benefits .  . Location.  .  . You must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US. .  . Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out! .  . Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences..  .